FORMS : Discipline: Notice of Suspension

FORMS : Discipline: Notice of Suspension

Name: Dept: Date:
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.

Signatures:

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

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