New Mexico State Personnel Office Disciplinary Action Career/Term Status ONLY

New Mexico State Personnel Office Disciplinary Action—Career/Term Status ONLY

SPO Use Only
Date Logged:
Date Agency Notified:
Date Received:

Agency Information (completed by Agency Personnel)

Business Unit Name: / Business Unit #:
HR Contact: / HR Phone: / HR e-mail:
Requested by (supervisor/manager): / Phone:
Employee: / Employee ID:
Address: / City: / State: / ZIP:
Classification: / Pay Band: / Bargaining Unit Covered: Yes No
Position #: / OL #: / Position Status: / Emp Hire Date:
Checklist (completed by Agency Personnel)
Action Requested: Suspension Demotion Termination
Written Notice of Disciplinary Action Dated , including:
Employee advised of the basis for the action (description of conduct, actions, or omissions, etc.)
Employee received an explanation of evidence
Employee advised of right to inspect and obtain copies of documentary evidence
Specify what the contemplated action is
Notice of employee’s right to respond in writing to the notice or request opportunity for oral response within 11 calendar days from service if hand-delivered, or an additional 3 calendar days if mailed. See COMPUTATION OF TIME, 1.7.1.11 NMAC.
Not required in letter
Date of request for oral response is ; Date of oral response is (within 11 days of employee’s request, unless the employee and the agency agree in writing to an extension of time—including date of issue).
Written Notice of Final Action must be served:
Within 11 calendar days following the response period of the Contemplated Action Notice, if no response was received—Dated .
or
Within 11 calendar days of receipt of the response, if a written or oral response was received by the agency—Dated .
Letter must include
Employee advised of the basis for the action (description of conduct, actions, or omissions, etc.)
Employee received an explanation of evidence
Specific Final Disciplinary Action taken:
Suspension, effective dates from to
Demotion, effective . Classification .
Termination, effective
Effective date(s)—must be at least 24 hours after date of service
Inform the employee that the final separation may be appealed to the Board with a written statement of the grounds for the appeal delivered to the State Personnel Office in Santa Fe, New Mexico, and received by the Director within 30 calendar days of the effective date of the separation.

New Mexico State Personnel Office Disciplinary Action Career/Term Status ONLY

New Mexico State Personnel Office Disciplinary Action—Career/Term Status ONLY

Agency Information (completed by Agency Personnel)

Required Documentation/Verification (completed by Agency Personnel)

Yes

No

Required Documentation

Is the Notice of Contemplated Action attached?

Is the employee response attached?

Is the Notice of Final Action attached?

Signature