Employees receiving this warning report are hereby put on notice of violation of our organizations rules and/or standards regarding SJAC’s attendance policy. Further attendance violation(s) may result in further disciplinary action, including the possible termination of employment.

Employee Name(Required)

First Disciplinary Report

Reason Tardy/Absent(Required)
Notice Received by(Required)
Was Notification received in a timely manner?(Required)
If medical, was Dr. Note received?(Required)
Employee Signature
Manager Signature

Second Disciplinary Report

Reason Tardy/Absent(Required)
Notice Received by(Required)
Was Notification received in a timely manner?(Required)
If medical, was Dr. Note received?(Required)
Employee Signature
Manager Signature

Third Disciplinary Report

Reason Tardy/Absent(Required)
Notice Received by(Required)
Was Notification received in a timely manner?(Required)
If medical, was Dr. Note received?(Required)
Employee Signature
Manager Signature