MEMORANDUM FOR (NAME OF INDIVIDUAL)
FROM: Unit/OFFICE SYMBOL
SUBJECT: Letter of Reprimand
1. On 7 Sep 10, you reported to work almost an hour late and I smelled alcohol on your breath.
2. As an Air Force professional, you know the importance of discipline and must understand that it is your responsibility to report to work well rested and prepared to work. Showing up to work in your condition reflects negatively on yourself and your supervisor and your workcenter. If this behavior occurs again, I will be forced to consider you unfit to serve and it will be my responsibility to the work center and the Squadron, to refer you to the Commander for consideration for discharge.
3. PRIVACY ACT STATEMENT. AUTHORITY: 10 U.S.C. 8013. PURPOSE: To obtain any comments or documents you desire to submit for consideration concerning this action. ROUTINE USE: Provides you an opportunity to submit comments or documents for consideration. If provided, the comments or documents you submit become a part of the action. DISCLOSURE: Your written acknowledgment or receipt and signature are mandatory. Any other comments or documents you provide are voluntary.
4. You will indicate receipt and understanding of this letter in the space below. You have 3 duty days in which to provide a response if you choose. A response is not required.
SUPERVISORS NAME, RANK, USAF
1st Ind, Name of Individual
TO: Unit/Office Symbol
Receipt acknowledged at _________________hours, on ___________________2010.
I understand that I may submit a response within three duty days.
Name of Individual, RANK, USAF