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MODEL LETTER FOR IMPOSITION OF DISCIPLINARY ACTION WRITTEN WARNING
(Date)
Name
Address
City, State, Zip
RE: Notice of Disciplinary Action Written Reprimand
Dear ___________________________:
This letter is to document the facts concerning your activities on (date) and to warn you of the consequences
of further inappropriate conduct while you are employed by the County.
It has come to my attention that you (detail the activities in which the employee engaged). Your activities
violated (detail the rules or standards of conduct the employee violated). (Optional sentence or paragraph
indicating that the employee has previously received an oral warning).
I view the foregoing matters as inappropriate conduct which warrants the imposition of disciplinary action.
Therefore, I am issuing you this Written Reprimand.
You are warned that, in the future, you must not engage in the activities set forth above; and you are
specifically notified that further violation of any standards, orders, policies, laws, work rules, failure to
perform your job in a satisfactory manner, or behavior which disrupts or interferes with County operations
may result in additional disciplinary action which can include suspension, demotion, transfer, or termination
of employment.
I urge you to give the foregoing admonition serious consideration throughout the remainder of your
employment with the County.
Sincerely,
________________________________
Department Head (or appropriate title)
* * * * * *
I have reviewed this notice of disciplinary action. I understand the purpose of my signature on this letter is
only to indicate that I have received a copy of the letter, and not that I necessarily agree with the action
taken.
_________________________________________ __________________________
Employee’s Signature Date


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