The Pink Shoe Diaries

(i am going to start handing these out daily)


Written Reprimand Form


Date: _________________________________

Issued to: _____________________________

Issued by: _____________________________

This form, when printed, completed, and signed, serves as formal notice that your behavior, as it relates to the incident outlined below, has been deemed loathsome by the issuing party (“The Reprimander”). Should your glaring personal deficiency not be promptly corrected and atoned for, The Reprimander may deem it necessary to institute more severe disciplinary measures against you – up to and including the establishment of a permanent public file chronicling your myriad failures and embarrassing secrets.

Incident Details:

Date of Incident: _______/_______/_______
Day Month Year

Time of Incident: _____:_____ am / pm

Nature of Incident: (check all that apply)

____ Annoyed Me ____ Annoyed Someone I Like, and Thereby Annoyed Me

____ Didn’t Compliment Me ____ Forgot Things About Me ____ Bumped Into My Person

____ Created Work For Me ____ Requested Favor of Me ____ Breathed Halitosis on Me

____ Out-Performed Me ____ Broke Promise to Me ____ Spoke to My Enemy

____ Bruised My Ego ____ Was “Hormonal” With Me ____ Disparaged Me

____ Climaxed Before Me ____ Caused Me Delay ____ Ignored Me

____ Demonstrated Superior Intellect

____ Other: ______________________________________________________________


Corrective Action Required: _______________________________________________________

_______________________________________________________________________________


Acknowledgement:

I, the undersigned, do hereby acknowledge taking delivery of this written reprimand. Furthermore, I commit to performing any required corrective actions indicated above, and concede that any implication as to my being a grotesquely flawed human is wholly accurate.



___________________________________________ __________________
Signature Date





This was brought to you courtesy of my new favorite website: The Sassy Secretaries' Secret Society:Resources and Rants for the Underappreciated Administrative Babe.