Fill and Sign the Manager Discipline Report Form

MANAGER’S DOCUMENTATION OF DISCIPLINE NOTICE Employee’s Name:       Job Title:       Note: This is a resource tool for Manager’s use only and is not intended to replace the discipline and/or counseling memo. Incident Information Date/Time       /       /       :       AM/PM       Description:                   Witness Name(s):       Was this incident a violation of a company policy? YES NO Standard Operating Procedure? YES NO A management directive? YES NO Explain Violation:             Next Steps What actions have been taken in the past when incidents like this occurred?             What action will be taken against this employee?             Has the problem been discussed with the employee? YES NO Did the employee offer any explanation for the incident? (Explain)             Any employee rebuttal?             ____________________________________       /       /       Signature of Manager Preparing Report Date