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Click ‘Get Form’ to open it in the editor.
Begin by selecting whether this is an Original Application or a Renewal Application. This choice determines the context of your disclosures.
Carefully read each question regarding past disciplinary actions, ensuring you answer truthfully. Use the checkboxes to indicate 'YES' or 'NO' for each inquiry.
If you answered 'YES' to any questions, provide additional details as required in the subsequent fields, including prior disclosures and approximate dates.
Complete the attestation section by printing your name, signing, and dating the form. Ensure all information is accurate before submission.

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Versions	Form popularity	Fillable & printable
2021	4.8 Satisfied (82 Votes)
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What is a disciplinary action form?

Disciplinary action forms are used to standardize the employee disciplinary process and ensure that your policies are applied fairly and consistently. You can use them for dress code violations, workplace safety violations, and more serious forms of misconduct.

What is an example of a disciplinary action?

Generally, the steps in the procedure will be progressive, for example, an oral warning, a written warning, a final written warning, and dismissal. However, there may be instances where more serious action, including dismissal, is warranted at an earlier stage.

What is the purpose of a disciplinary action?

The purpose of disciplinary action is to correct, not to punish, work related behavior. Each employee is expected to maintain standards of performance and conduct as outlined by the immediate supervisor and to comply with applicable policies, procedures and laws.

How to document disciplinary actions?

7 Tips for Effective Employee Disciplinary Meetings Own Your Employees Performance Issues. Know When to Escalate. Be Fair. Be Sensitive to Extenuating Circumstances. Proceed Gradually and Deliberately. Know Your Legal Requirements. Close the Meeting on a Positive Note.