Insubordination Write Up Template

  • Standardizes the documentation process for serious disciplinary incidents like insubordination
  • Ensures all necessary details are captured (incident description, policy violation, consequences)
  • Provides a clear path for required behavioral or performance improvement with defined goals and due dates
  • Creates a formal record required for progressive disciplinary action (first, second, or final warning)
  • Facilitates legally sound closure by including acknowledgement signatures from the employee, manager, and HR
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Downloads 9 downloads Type Template Publication date November 26, 2025 Topics Employee RelationsHR LeadershipHR Operations

This template provides a structured, legal, and consistent format for formally documenting an incident of employee insubordination, outlining the violation, the specific consequences, and the clear expected improvements required to resolve the disciplinary issue.

  • Employee and incident information: Fields for employee name, job title, ID, manager name, department, and date
  • Incident details and classification: Sections to specify the employee responsibilities related to the incident, the type of warning (first, second, or final), and a detailed description of incident
  • Policy and consequence: Fields to reference the type of policy or rule violation and an outline of the specific consequences (disciplinary action) to be taken
  • Expected improvement plan: A dedicated section to list 3 specific expected improvements (behavior/goals) with corresponding due dates
  • Formal acknowledgement: Signature blocks and dates for the employee, manager, and HR to formally acknowledge the issuance and receipt of the warning
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