Case File
efta-efta01099324DOJ Data Set 9OtherLSJE, LLC
Date
Unknown
Source
DOJ Data Set 9
Reference
efta-efta01099324
Pages
1
Persons
0
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LSJE, LLC
6100 Red Hook Quarter B3 St. Thomas, VI 00802 Ph:
Disciplinary Action Form
Employee Name:
Occupation:
Manager/Supervisor:
Date of Incident(s)
Time of Incident:
Occurance(s) leading to Discipline:
Action taken:
Time:
Employee Response:
Time:
1st Warning: Date _/
/
Verbal:
Written:
2nd Warning: Date
/_I_
Verbal:
Written:
3nd Warning: Date
/
/
Verbal:
Written:
ACTION TAKEN:
WARNING [ ] SUSPENSION [ ] TERMINATION [ ] with pay:
Length of Suspension:
without pay:
This report will be included in the employee's Personnel File:
Signature of Manager
Date
Signature of Supervisor
Date
Signature of Employee
Date
EFTA01099324
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