|Date of occurrence:||Time:||Location:|
In accordance with personnel rules, this notice is to notify you that you have been suspended from your employment, without pay, for a period of _______ days, on the following days/dates (MM/DD/YY) ______________________.
The reason for this action is as follows (mark as many as apply below):
|[ ] Incompetence, inefficiency||[ ] False statements, fraud|
|[ ] Abusiveness||[ ] Injuring others, wasting public supplies|
|[ ] Violation of lawful order, direction, regulation||[ ] Absent without authority|
|[ ] Use, possession of drugs||[ ] Personal business activities|
|[ ] Accepting a bribe||[ ] Illegal discrimination|
|[ ] Criminal conviction||[ ] Failure to maintain minimum standards, licenses|
|[ ] Other|
If necessary, explain further or attach additional pages:
Should the employee desire to appeal this disciplinary action, refer to [Company Name] rules.
|Employee: __________________________________________________||Date: __________|
|Supervisor: __________________________________________________||Date: __________|
|HR manager: ________________________________________________||Date: __________|
- See more at: http://www.shrm.org/templatestools/samples/hrforms/articles/pages/cms_002002.aspx#sthash.2obGoKI4.dpuf