NOTICE OF DISCIPLINARY ACTION

LMV Enterprises Inc.

Employee Name Position Department/Section

Current Employment Status Apprentice Probationary Regular

Date Prepared

Classification
Type of Discipline Violation
Tardiness Company Rules/Policies Safety Standards Major Offense

Attendance Work Quality Others Minor Offense

Previous Disciplinary Warnings

Date Violation Statement

1 Offense
st

2nd Offense

3rd Offense

DISCIPLINARY ACTION TO BE TAKEN (Pls. check as appropriate and give details)

Suspension

FROM (starting date) TO (ending date)

Schedule of the Resume on :

remaining suspension
will be scheduled for
other week

I understand the contents of this documentation and the disciplinary actions that result. I have received a copy
of this notice and understand that a copy will be kept in my employee file.

_____________________________ ______________________________
Employee’s Name and Signature Name and Signature of Appointing Authority