ELECTRONIC NOTIFICATION FORM – ELECTRONIC NOTIFICATION FORM

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ELECTRONIC NOTIFICATION FORM

Check One *

Termination Notice
Warning Notice

Employee Classification *

Journeyman
Apprentice
CW
CE

Name *

First

Last

Employee's Email *

Date (Month/Day/Year) *

Employee Termination or Warning for Reasons Checked Below:

Reduction in Force
Voluntary Quit-Work Available
Not for Rehire
Harassment of Co-Workers
Horseplay
Non-Compliance with Company/Customer Work Rules
Violation of Safety Policies
Misuse of Employer's Tools
Unprofessional Attitude/Appearance
Under the Influence of Drugs or Alcohol
Absenteeism
Theft
Jobsite Violence
Poor Workmanship/Productivity
Instigation/Participation in Work Slowdown or Stoppage
Other

If Other, Please Explain

Company

By: *

Title

Employer's Email *

Job Site *

Witness

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