Fillable Written Reprimand Form

Fill Online, Printable, Fillable, Blank Written Reprimand Form Form

Use Fill to complete blank online CITY (AR) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Written Reprimand Form

On average this form takes 5 minutes to complete

The Written Reprimand Form form is 1 page long and contains:

  • 0 signatures
  • 3 check-boxes
  • 17 other fields

Country of origin: US
File type: PDF

U.S.A. forms for City

BROWSE CITY (AR) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
08/05 PE48
CITY OF LITTLE ROCK
COPY: Check One
Human Resources Personnel File
Department
Employee
NON-UNIFORM EMPLOYEE
DISCIPLINARY ACTION FORM
RECORD OF WRITTEN REPRIMAND
DATE
EMPLOYEE #
DEPARTMENT
Employee Name
Complete Home Mailing Address
This is to advise you that you are hereby reprimanded for the following reasons:
You are hereby warned that a recurrence of this infraction, or other infractions, will result in further disciplinary
action up to and including termination.
You have the right to submit a written rebuttal (to be attached to this record) within ten (10) working days upon
receipt of this letter.
(AFSCME ONLY) You have the right to appeal this action and may request an administrative hearing within ten
(10) working days upon receipt of this letter.
/ /
Employee’s Signature Date Immediate Supervisor’s Signature Date
(Does not necessarily imply agreement with
the stated reasons and/or disciplinary action.)
OR (if applicable)
/ /
1. Witness Date Division Manager’s Signature Date
/ /
2. Witness Date Department Director’s Signature Date
(indicates review and approval)
/
Union Steward’s Signature Date
(if applicable)
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Written Reprimand Form

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 21 March 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document