Notice of Decision to Reprimand


1. This is an official notification of your reprimand for the reason(s) stated below:

a. Reason(s): *describe the delinquency or misconduct*

b. Specification(s): *provide brief but specific details*

We have carefully and impartially considered the reasons and specifications stated above and find that the incidents described are fully supported by reliable evidence and are therefore sustained, warranting your reprimand. You are, therefore, reprimanded for *restate reason above verbatim*.

2. This reprimand is effective immediately upon your receiving this letter. It is intended to emphasize to you the seriousness of your misconduct and to encourage you *indicate what corrective action/behavior you wish to elicit*. This reprimand will be retained in your Official Personnel Folder for a period of two years from the date of this notice. Further incidents of this nature could result in more severe disciplinary action, including removal.

If you wish, you have the right to have your case reviewed under the Administrative Grievance Procedures. Should you submit a grievance using this process, you must do so in writing no later than 15 calendar days after the effective date of the final written decision. You may represent yourself or elect to have someone represent you. If you elect a representative, you must designate this person in writing at the time you present your grievance. Your grievance should be presented to the servicing personnel office or deciding official.

If you wish to read regulations pertinent to this decision or obtain further information about your procedural rights, you may contact *ABC, point of contact *, telephone number-------.

*Supervisor's Signature*

*Signature Block*

Employee's Initials and Date of Receipt