Personnel Action Notice (PAN)
Hello , you have been issued a Personnel Action Notice which requires your review and signature. Please review the following information and sign the document as requested. Failure to sign receipt of documentation is a violation of company policy. You are required to sign for receipt of this information only. Failure to sign for receipt will be considered insubordination and could be grounds for immediate termination.
Which actions are occuring:
Original hire date:
Previous discipline documents on file:
Please define other:
Action to be taken:
Consequences should incident occur again:
Personnel Record Entry
Accident or incident type:
Purpose of Notification:
By signing this document, I neither agree or disagree with the information contained within, however, by signing this document I acknowledge that I have received the information. Additionally, I am aware that once I have looked at this document, it has been recorded within the system as having been read. I understand that refusal to sign for receipt of this information will be considered as disregard for company policy and insubordination. This may be grounds for immeduate termination.
I have received and reviewed the provided information. I have received and reviewed the provided information.
I also understand that I will be granted the right and opportunity to discuss this information with my supervisor or manager and will be allowed to submit additional information related to this matter. Should additional information provided alter the findings related to this matter, I will be allowed to request a correction as appropriate to this entry.
Leave this empty:
Your legal name
Your email address
If you have questions about the contents of this document, you can email the document owner.
Document Name: Personnel Action Notice (PAN)
Agree & Sign