NAME: POSITION: EMP.

NO:
TEAM LEADER / SUPERVISOR: DEPT. / TEAM:
PREVIOUS OFFENSE ON RECORD:
PREVIOUS OFFENSE COMMITTED ON:
PREVIOUS OFFENSE IS NOW
DATE OF INCIDENT: to
VIOLATION: EQUIVALENT SANCTION and PRESCRIPTIVE PERIOD:
SUMMARY OF INCIDENT:
FOR DISMISSAL CASES:
EMPLOYEE EXPLANATION / COMMENTS: (ATTACH PRIOR / ADDITIONAL DOCUMENTS IF NECESSARY )
CONFERENCE: DATE TIME VENUE
* SIGNATURE OVER PRINTED NAME
EMPLOYEE'S SIGNATURE: __________________________________ DATE: _____________________
DEPARTMENT SUPERVISOR'S/MANAGER'S SIGNATURES HRD REPRESENTATIVE'S SIGNATURE
You are hereby directed to explain in writing within five (5) days from date and time you received this letter why your
employment should not be terminated because of the above alleged offense/s. If you fail to comply, your opportunity to explain
your side shall be deemed waived. You have the right to be represented by a lawyer. You also have the right to have a
conference for the purpose of presenting your witnesse/s and evidence, if any, which is tentatively set on (date, time, and
venue as below). Otherwise, upon receipt of your written explanation, or the expiration of the five (5) days given to you, your
case shall be adjudicated based on available evidence.
NOTICE TO EXPLAIN
The employee must meet program and company guidelines. It is imperative to fulfilling customer service and employee
performance standards as well as company policies. We recognize your right to be heard and acknowledge your freedom of
expression with regard to Corrective Action. You are hereby duly notified that you may respond in writing within 48 hours. If
you choose not to provide a written explanation within the given period, this shall constitute a waiver of your right to be heard.
This Corrective Action notice shall be retained in confidential HR 201 file.
DETAILS OF CURRENT OFFENSE
EMPLOYEE HISTORY
EMPLOYEE INFORMATION
NONE
NOT APPLICABLE
CLEANSED
UNCLEANSED
NOT APPLICABLE
ATTENDANCE-RELATED
WORK / PERFORMANCE-RELATED
BEHAVIOR-RELATED
OTHERS, PLEASE SPECIFY
(Use a separate sheet, if necessary)



J anuary 1 2010 Tardiness Verbal Warning
February 2 2011 Late Advice 1st Written Warning
March 3 2012 AWOL 2nd Written Warning
April 4 2013 NCNS FINAL Written Warning
May 5 2014 Dismissal
J une 6 2015
J uly 7 2016
August 8 2017
September 9 2018
October 10 2019
November 11 2020
December 12
13
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15
16
17
18
19
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21
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30 days
2 months
3 months
6 months