Employee Hearing Notice

EMPLOYEE HEARING NOTICE

Date of Notice:

Employee Identification

Employee Name:

Employee ID:    Job Title:

Hearing Details

Hearing Officer:

Hearing Date:    Time:    Location:

Type of Proceeding: Disciplinary Investigatory Other:

Potential Disciplinary Outcomes (not exhaustive): written warning, suspension, demotion, termination, or other corrective action as determined following the hearing.

Rights and Procedure

Representation: The employee may be accompanied by a representative. The representative may be a co-worker, union representative, or personal representative. Legal counsel may attend if expressly permitted by policy. Indicate representation below:

Employee will be represented by:

Relationship to Employee:

Employee may present witnesses and documentary evidence. To aid scheduling, provide intended witness names and a brief description of evidence below and attach copies where available.

Requests for adjournment must be submitted in writing no fewer than 48 hours before the scheduled hearing with a statement of reasons and supporting documentation. Failure to appear without good cause may result in the hearing proceeding in the employee's absence and imposition of disciplinary action based on the available evidence.

Employee Information (For Record)

Employment History (Most Recent Employers)

Education

References (Professional)

Legal Notices and Acknowledgements

At-Will Employment: Nothing in this notice or in any oral or written statement related to this proceeding alters the at-will employment relationship, unless an express written agreement signed by the authorized company representative states otherwise.

Equal Opportunity: The employer provides equal employment opportunity without regard to protected characteristics. This hearing will be conducted consistent with applicable non-discrimination obligations and company policy.

Authorization to Contact Prior Employers and Conduct Background Checks:

I authorize the employer to contact previous employers and to obtain background information relevant to the matters under review. I understand that such checks will be limited to information directly relevant to the subject matter of this hearing.

Pre-Hearing Statement & Employee Certification

Applicant Certification and Acknowledgement:

I certify that the information provided in this notice and in any attachments is true and complete to the best of my knowledge. I acknowledge receipt of this Employee Hearing Notice and understand the date, time, location, the alleged violation(s), my right to representation, and the potential consequences described herein. I further understand that false statements made in connection with this proceeding may result in disciplinary action, up to and including termination.

I acknowledge receipt of this notice and the rights and conditions stated herein.

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