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