SUSPENSION LETTER TEMPLATE
On Dept. Letterhead
DATE:
TO: John Doe, Title
FROM: John Smith, Title
RE: Suspension without Pay
This is formal notification that, effective ____________; you will be suspended with/without pay for
_______ (2 – 5 days) days for _______________________________ (reason, could be a
behavior/performance issue or until an investigation is completed).
Relevant Past Occurrences or Active Disciplinary Actions (if applicable)
Mention if any…
Will not apply if reason for suspension is the result of incident(s) referred to under Disciplinary Action,
Guidelines, found in the HR Library that may call for immediate suspension pending investigation.
Incident(s) Leading to Suspension
Describe specific situation leading to the suspension.
Disciplinary Decision
You will be suspended for ______ days with/without pay starting ____ and ending ____. You are not
permitted to use available earned leave during this suspension to cover your absence, be at the work
place or to perform work during this time period. You are expected to return on _______.
Appeal Rights
Should you wish to appeal this decision, you have the right to resolve this matter in accordance with the
University of Nebraska at Omaha Employee Handbook.
Manager’s Signature: ___________________________ Date: __________________________
Employee Acknowledgement (optional if delivering at work)
I acknowledge that I have received this disciplinary letter and understand that my signature below does
not necessarily imply agreement with the disciplinary action taken.
Employee Signature______________________________ Date: ___________________________
Cc: Manager / Title
Human Resources/Employee File
Updated: March 7, 2014