Company Letterhead
{{company_name}}
{{company_address}}
Phone: {{phone}} | Email: {{email}}
Website: {{website}}
Date and Employee Details
Date: {{date}}
Employee Name: {{employee_name}}
Employee ID: {{employee_id}}
Job Title: {{job_title}}
Department: {{department}}
Subject: Disciplinary Notice
This letter serves as a formal disciplinary notice regarding your conduct/performance on {{date_of_incident}}.
Nature of Incident/Breach
On {{date_of_incident}} at approximately {{time_of_incident}}, you were involved in/observed to be engaging in the following conduct/breach of company policy:
{{description_of_incident}}
This conduct is in direct violation of the following company policy/policies: {{relevant_policy_or_rule_number}}.
Impact of Conduct
Your conduct has had the following impact on the company/colleagues/operations: {{impact_description}}.
Previous Discussions/Warnings (if applicable)
Please note that this is not the first instance where your conduct has raised concerns. You were previously counselled/warned on {{date_of_previous_warning}} regarding {{nature_of_previous_warning}}.
Disciplinary Action
Due to the seriousness of this incident/breach, and in accordance with the company's disciplinary code, the following disciplinary action will be taken:
{{disciplinary_action_taken}} (e.g., written warning, final written warning, suspension without pay for {{number_of_days}} days, demotion, dismissal).
Required Improvement and Expectations
You are required to immediately cease the unacceptable conduct and adhere strictly to all company policies and procedures. Specifically, you must:
{{required_improvements}}
We expect an immediate and sustained improvement in your conduct/performance. Failure to meet these expectations may result in further disciplinary action, up to and including termination of employment.
Right to Appeal
You have the right to appeal this disciplinary action. Should you wish to do so, you must submit a written appeal to {{appeals_person_or_department}} within {{number_of_days_for_appeal}} working days from the date of this notice, stating your grounds for appeal.
Acknowledgement of Receipt
I acknowledge receipt of this Disciplinary Notice and understand its contents and the disciplinary action being taken against me.
Employee Signature: _________________________ Date: {{date_acknowledged}}
Print Name: {{employee_name}}
Management Signature
Issued By: _________________________ Date: {{date_issued}}
Print Name: {{manager_name}}
Job Title: {{manager_job_title}}
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