Driver write-up form: a written warning that records the facts, the rule, and the next step
Overview
A driver write-up form records what happened with dates and trip times, the written rule that applies, earlier steps, what the driver must change and by when, and what a repeat means. The driver signs to confirm receiving it, not to agree, and may add a statement. Hand over a copy at the meeting and keep one in the file.
On this page
How to fill in a write-up
Write it from the trip record, not from memory, and deliver it the day you decide. The form is one page, and every line asks for something you can point to. Which step of discipline this is comes from your own policy in the driver handbook, and the steps themselves, with a completed example, are in the guide to disciplining NEMT drivers.
- Pull the records first. Get the trip times, the dispatch messages, and the vehicle inspection for the event.
- Find the rule. Cite the handbook section the driver signed for, and the date of that signature.
- Check the file. List every earlier step on the same issue, with dates.
- Hear the driver before you write the plan. Record the driver’s account in the driver’s words, in Part D.
- Meet, hand over a copy, and file the original. The driver signs for receipt. Both of you keep a copy.
The form
Part A: Who and when
| Field | Entry |
|---|---|
| Driver name and ID | |
| Position and vehicle usually driven | |
| Date and time of the event | |
| Date this form was written | |
| Written by | |
| Step under our policy | [Written warning / Final warning / Other] |
Part B: What happened
Use the trip number for the rider. Each A to B ride has its own number and its own record.
| Field | Entry |
|---|---|
| Trip number and leg | |
| Vehicle | |
| Place | |
| Scheduled pickup window or appointment time | |
| Actual arrival, pickup, and drop-off times (from the trip record) | |
| What the driver did or did not do, as facts |
Part C: The rule and the record
| Field | Entry |
|---|---|
| Handbook or policy section | |
| Date the driver signed for that policy | |
| Records reviewed | [ ] Trip record and GPS track [ ] Dispatch messages [ ] Vehicle inspection [ ] Camera footage [ ] Statements |
| Earlier steps on the same issue, with dates |
Part D: The driver’s account
| Field | Entry |
|---|---|
| What the driver said | |
| Other statements or witnesses | |
| Driver declined to comment | [ ] |
Part E: What happens now
| Field | Entry |
|---|---|
| What must change | |
| Help or retraining offered | |
| How it will be measured | |
| Review date | [30 / 60 / 90 days] |
| If it happens again | [Next step under the policy] |
Part F: Broker or payer involved (if any)
| Field | Entry |
|---|---|
| Broker and complaint number | |
| Points or penalty assessed, and the date | |
| Date the broker’s response is due |
Part G: Delivery and signatures
My signature means I received this form. It does not mean I agree with it. I may attach my own statement.
| Field | Entry |
|---|---|
| Placed in the personnel file on | |
| Delivered on (date and time) | |
| Delivered by | |
| Witness | |
| Copy handed to the driver | [ ] Yes |
| Driver’s statement attached | [ ] Yes [ ] No |
| Driver signature (receipt only) | |
| Driver declined to sign | [ ] Noted by: |
Can the driver see the write-up and answer it?
In several states the driver can do both. Three examples:
- California. Labor Code 432 requires an employer to give an employee or applicant a copy of any document the person signed relating to obtaining or holding employment, if requested. Labor Code 1198.5 lets current and former employees inspect and receive a copy of the personnel records the employer keeps relating to their performance or any grievance, within 30 calendar days of a written request. A signed write-up falls under both.
- Illinois. The Personnel Record Review Act covers employers with 5 or more employees. On written request, an employee may inspect and copy documents used to decide on discharge or other disciplinary action, at least twice a year, and a former employee counts for a year after leaving. If the employee disagrees with a record and no correction is agreed, a written statement is attached and goes out with the record to any third party.
- Massachusetts. Under chapter 149, section 52C, you must notify an employee within 10 days of placing information in the personnel record that is or may be used to hurt the employee’s chances for promotion, transfer, or pay, or to support discipline. The employee may review the record within 5 business days of a written request, and may attach a written statement to anything disputed.
Part G records the date the form went into the file next to the date you delivered it, which is your proof of the Massachusetts deadline. Where your state has no such law, give the copy and the chance to respond anyway. It costs nothing and removes any argument that the driver never saw the form.
What to keep off the form
- The rider’s name or condition. Refer to the trip number. The driver may ask to see the file, and an agency or a hearing officer may ask for it.
- A line against discussing it with coworkers. The NLRB says talking with coworkers about working conditions is protected activity, and an employer may not discipline or threaten an employee for it.
- Guesses about motive. “Did not care” cannot be checked. “Picked up at 8:41 for a window that closed at 8:30, per the trip record” can.
- Anything the driver has not been shown. If a fact is in the file, it belongs on the page the driver signs.
The meeting: the investigation comes first
The right to a representative attaches to the fact-finding, not the handoff. The NLRB says that, under current Board law, only union-represented employees have the right to ask for a representative at an interview they reasonably believe could lead to discipline. The Board lists a meeting to tell an employee about a disciplinary decision already made among the meetings that are not investigatory.
For a union driver, that means the representative sits in on the questioning that produces Part D. Delivering the finished form is a shorter meeting, with the signature and the copy.
When a broker complaint or point started it
Part F exists because the broker keeps its own clock. MTM Health’s Virginia handbook scores providers on a point system, assesses points after a field audit, a complaint, or state monitoring, and keeps each point for one year from the date it was assessed. A substantiated complaint about securement is one of the listed 2-point infractions.
Record the complaint number, the points, and the date, so your warning and the broker’s record line up. Your internal step and the broker’s action are separate: the broker can suspend a driver’s access to its trips while you are still deciding what to do with the employment. The guide to disciplining drivers covers what to do when a broker removes a driver.
Filing it and letting it go
Keep the signed original in the driver’s file, and keep a copy of the attached statement with it. Under 29 CFR 1602.14, an employer keeps personnel records for one year from the date of the record or the action, whichever is later, and a termination keeps the file for one year from the termination. A discrimination charge extends the period for the records relevant to it. The employee record retention guide gives the full schedule.
Illinois has two rules for sharing a warning with anyone outside your company, other than a union that represents the employee. Section 40/7 requires written notice to the employee, mailed first class on or before the day you share it, with exceptions for a waiver signed on a job application, a court or arbitration order, and a government agency request after an employee complaint or a criminal investigation. Section 40/8 requires you to review the file before any release and delete disciplinary reports more than four years old, with exceptions that include legal proceedings. If the warning ends in a termination, the steps after it are in how to fire a NEMT driver.
Quoting the trip record in HealthRide
Part B asks for times, and HealthRide keeps them. Each trip saves its timestamps, signatures, and GPS-recorded miles, and the reports page exports a trip log as a CSV or PDF, so the form can quote the record. The license and training dates on each driver’s profile in fleet and credentials show whether an expired credential belongs in the same file.
Frequently asked questions
- Does the driver have to sign a write-up?
- The signature is proof of receipt, and the form should say so above the line. If the driver declines, write "refused to sign" with the date, the time, and the initials of a witness, then hand over the copy anyway. The note is how you show later that the driver was given the form.
- Does the driver get a copy?
- Give one at the meeting, because several states make the document available anyway. California requires an employer to hand over a copy of any signed document relating to holding a job on request (Labor Code 432). Massachusetts requires you to notify an employee within 10 days of putting negative information in the personnel record. Illinois lets employees of businesses with 5 or more employees inspect and copy records used for discipline.
- Can the driver answer the write-up in writing?
- In Illinois and Massachusetts, yes. If the employee disagrees with something in the personnel record and the two sides cannot agree on a correction, the employee may submit a written statement. The employer attaches it to the disputed record, and it goes out with that record whenever the record is released to a third party. Leave space on the form for it.
- Can I tell the driver not to discuss the warning with coworkers?
- Leave that line out. The NLRB says employees have the right to talk with coworkers about wages and working conditions, and that an employer may not discharge, discipline, or threaten them for it. Ask the driver to keep rider information private, which is a separate request, and say nothing about who the driver may talk to.
- Does a union driver have the right to a representative at the meeting?
- At an interview that could lead to discipline, yes, if the driver is union-represented and asks. Under current NLRB law only union-represented employees have this right. A meeting where you only tell the driver about a decision already made is not an investigatory interview, so the right attaches to the fact-finding conversation before you write the form.
- Should a rider's name go on the write-up?
- No. Use the trip number. The personnel file can be shown to the driver, a state agency, or a hearing officer, and the rider's name and condition add nothing the trip record does not already hold. The trip number leads anyone with authority to that record and keeps the rider out of the employment file.
- How long should I keep a write-up?
- At least one year from the date of the record or the action, whichever is later, under the EEOC record rule at 29 CFR 1602.14, which reaches employers covered by Title VII and the ADA (15 or more employees). If the driver is let go, it is one year from the termination. Illinois adds a limit on the other end: before releasing records to a third party, an employer must delete disciplinary reports more than four years old.