DATE : April 8, 2019

TO :

FROM :
RE : NOTICE TO EXPLAIN

Please explain in writing within twenty (24) hours from receipt of this notice why no corrective
action should be imposed upon you for the acts and/ or omissions described below:

Date(s) of the incident: April 5 2019

Where the incident occurred: Office
What happened: Absence on the Identified Critical Work Day and NCNS
How it happened: Absent day before day off and NCNS
Other details:

The foregoing is an offense defined in the company Code of Conduct, specifically:

Acts against Attendance Policies

1. Absence on the Identified Critical Work Day
Absence on pre-agreed and pre-announced Critical Work Day where an CLASS C
employee has been notified to report for said days.

This will serve as your Final Written Warning

All the foregoing warrants the possible corrective action of: 2 days suspension

Failure or refusal to reply to this notice within the period provided, or to attend the Admin Hearing
date shall be interpreted as your submission to have the charge(s) against you evaluated and
resolved based solely on the records at hand.

By signing this notice, you confirm that you received a printed copy of this document

Name of Employee:_____________ _______ Signature: ____________Date: __________

This notice issued by:

Name of Supervisor: ___________________ Signature: ____________ Date: _________

This notice is reviewed by Human Resource Department: ________________________

Use the space provided in the second page of this form for your written explanation. Use a
separate sheet if necessary:
This written explanation was accomplished by:

Name of Employee: _________________ Signature: _________________ Date: _________

Acknowledgement of receipt of written explanation:

Name of Supervisor: ________________ Signature: _________________ Date: _________

Job Title: Shift Supervisor / Team Leader