Disciplinary Form Template for United States

A standardized legal document used in United States workplaces to formally document employee misconduct, policy violations, or performance issues. This form serves as an official record of disciplinary action, ensuring compliance with federal and state employment laws while protecting both employer and employee interests. It includes detailed documentation of the incident, corrective actions required, consequences of continued infractions, and acknowledgment from all relevant parties. The document is designed to support progressive discipline policies while maintaining legal compliance with U.S. labor laws, including Title VII of the Civil Rights Act, ADA, and state-specific employment regulations.

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What is a Disciplinary Form?

The Disciplinary Form is a crucial human resources document used across United States businesses to maintain workplace standards and ensure fair treatment of employees during disciplinary proceedings. It serves as an essential tool in progressive discipline systems, providing a standardized method for documenting workplace violations, performance issues, or policy infractions. The form must comply with federal regulations including Title VII of the Civil Rights Act, the Americans with Disabilities Act (ADA), and state-specific employment laws. It should be used whenever formal disciplinary action is required, typically following verbal warnings or as part of a documented performance improvement process. The document includes specific details about the incident, previous warnings, required corrective actions, and potential consequences, while ensuring due process and equal treatment under U.S. employment law.

What sections should be included in a Disciplinary Form?

1. Employee Information: Basic details including employee name, ID, position, department, and supervisor

2. Date and Location: When and where the incident or behavior occurred

3. Nature of Violation: Specific description of the policy violation or inappropriate behavior

4. Impact Statement: How the violation affects the workplace, colleagues, or business operations

5. Previous Warnings: Documentation of any prior related incidents or warnings

6. Corrective Action: Specific actions required of the employee to address the issue

7. Consequences: Clear statement of what will happen if behavior continues or corrective action isn't taken

8. Acknowledgment: Signature section for employee, supervisor, and HR representative

What sections are optional to include in a Disciplinary Form?

1. Investigation Summary: Details of any investigation conducted, used for serious violations requiring formal investigation

2. Union Representative: Space for union representative information and signature, required for unionized employees

3. Performance Improvement Plan: Detailed plan with specific goals and timeline, used for performance-related issues

4. ADA Accommodation Notes: Documentation of any disability-related considerations or accommodations

5. Witness Statements: Reference to or summary of witness accounts, used when incident involves witnesses

6. Employee Response: Space for employee to provide written response or explanation

What schedules should be included in a Disciplinary Form?

1. Company Policy Reference: Relevant sections of company policy or employee handbook that were violated

2. Supporting Documentation: List of attached evidence, such as attendance records, performance data, or incident reports

3. Progressive Discipline Schedule: Overview of company's progressive discipline steps and where this incident falls

4. Employee Rights Notice: Statement of employee's rights regarding the disciplinary action

Authors

Alex Denne

Head of Growth (Open Source Law) @ Genie AI | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents

Jurisdiction

United States

Publisher

Genie AI

Cost

Free to use

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