Employee Misconduct Termination Documentation Form
Document incidents of employee misconduct resulting in termination. Please complete all sections accurately for HR records.
Employee Full Name
*
First Name
Last Name
Employee Position/Title
*
Department
*
Please Select
Human Resources
Finance
Operations
Sales
IT
Marketing
Other
Supervisor/Manager Name
*
First Name
Last Name
Date of Incident
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Location of Incident
Description of Misconduct Incident (please provide detailed information)
*
Upload any supporting evidence or documentation (optional)
Upload a File
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Choose a file
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of
Were there any prior disciplinary actions taken against the employee for similar misconduct?
*
Yes
No
List names and contact information of witnesses (if any)
HR Reviewer Name
*
First Name
Last Name
HR Review Comments/Notes
Signature of Supervisor/HR Reviewer
*
Submit Documentation
Submit Documentation
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