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Infraction Record Form

This form will be retained in the personnel files. Please remember that not all infractions are of equal weight.

There are 8 questions in this survey.
A. General Information
Required

Full name:

Infraction by
Required

Email

Infraction by
B. Form filled out by team lead
Required

Full name:

Team lead
Required

Email

Team lead
C. Information
Required
Team/Department:
Required
Date of Infraction:
Open date/time selector
Required
Type of Infraction:​​​​​
Required
Additional notes   

(Please describe clearly what happened, including relevant context.)