Ponderosa Disciplinary Documents

🟠🔴🟣🔵 Ponderosa Disciplinary Documents

Step 1 of 6

Employee Information

Created on(Required)

What is today’s date?

Name(Required)

First Last

Department / Position(Required)

Document(Required)

Your document will be automatically emailed to the staff member selected.

Date of Incident(Required)

What date did the incident occur?

Time of Incident

Please include this information if available.

Documented Verbal Warning

Verbal Warning Reason(s)(Required)

You may select as many reasons as necessary

Other Reason(Required)

Please enter the Verbal Warning Reason

Violation(Required)

Select the appropriate violation. If you do not see a suitable option, please select other and write the violation in the description area.

Violation Reason (Other)(Required)

Please enter the Violation

Description:(Required)

Please provide as detailed description as possible

Written Warning

Written Warning Reason(s)(Required)

You may select as many reasons as necessary

Other Reason(Required)

Please enter the Verbal Warning Reason

Violation(Required)

Select the appropriate violation. If you do not see a suitable option, please select other and write the violation in the description area.

Violation Reason (Other)(Required)

Please enter the Violation

Description:(Required)

Please provide as detailed description as possible

Suspension

Suspension Reason(s)(Required)

You may select as many reasons as necessary

Other Reason(Required)

Please enter the Verbal Warning Reason

Violation(Required)

Select the appropriate violation. If you do not see a suitable option, please select other and write the violation in the description area.

Other Violation(Required)

Please enter the Violation

Suspension Term(Required)

3 Day Suspension

5 Day Suspension

7 Day Suspension

Description:(Required)

Please provide as detailed description as possible

Demotion

Demotion Type(Required)

Please select the type of demotion. Demoted position will be demoted to previous position. Demotion of wage will be demoted to previous wage. Demotion of position and wage will be previous position, and wage.

Demotion of Position

Demotion of Wage

Demotion of Position & Wage

Reason for Demotion(Required)

Please be as specific as possible and watch SPELLING!

Termination

Reason for Termination(Required)

Please be as detailed as possible.

Date of Termination

Signature & Date

Manager Issuing Document(Required)

First Last

Signature of Manager issuing document

Manager must sign. If you prefer to sign a printed document, please write your initials here and a printed document will be produced for you to sign.

Date Manager Signed

Signature of Employee

If employee is not present when completing this Document, Human Resources will produce a printed copy for them to sign. Please write their initials in the bottom right corner.

Date Employee Signed

If employee is not present, please select the next date they will be present to sign.

Witness

Witness Name

Please write no witness if you are preparing this from a location other than Ponderosa Veterinary Clinic. You may also write the name of any other manager that you have discussed this document with.

First Last