WARNING/DISMISSAL FORM - rccd 2026

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  1. Click ‘Get Form’ to open the WARNING/DISMISSAL FORM in the editor.
  2. Begin by entering the student’s name as it appears on their Social Security Card in the designated field.
  3. Input the student’s Social Security Number in the next field, ensuring accuracy for record-keeping.
  4. Fill in the Name of Hiring Site and Supervisor Name along with their Phone Number and Extension for contact purposes.
  5. Complete all Budget Code fields (1 through 8) as required by your department's internal policies.
  6. Document any warnings issued by filling out the date and reason for each warning clearly in the provided sections.
  7. If applicable, indicate whether the dismissal is voluntary or non-voluntary, and provide the last date worked along with a detailed reason for dismissal.
  8. Finally, ensure that the supervisor signs and dates the form before saving or distributing it as needed.

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