Included is a PDF file with a printable infraction slip. To read more about how I use this in my classroom, check out the excerpt below from a recent blog post:
I created an "Infraction Slip" as well, which has been very effective at documenting student behavior and enforcing a consequence within my classroom. Unless behaviors escalate or infraction slips accumulate, they simply stay in my files. They do not go to parents or administrators. In a way, they are just a tangible warning. After I've given an official verbal warning, this is the next step.
My impressions so far is that it seems to help with redirecting negative behaviors. I generally write it out and deliver it to the student privately. I try to choose my timing carefully -- if it seems like the student is very volatile and it would only worsen the situation, I generally wait until they have calmed down to talk to them about it. If however I feel it would be helpful to address the behavior immediately, I take the time to do that.
The other day, I had problems with a student who would just not stop talking. He was yakking the entire class - during instruction, during independent work, etc. I filled out the infraction slip, reminded him again that this is just a classroom document and the NEXT step would be a parent phone call, and asked him to sign it. I tell them that if they choose not to, that's fine too - I will just document they refused to sign it. He decided to read what I had written, and as he was reading, he was nodding, "Yah, that's true. Yah, I did that." He then wrote, "The student will... stop talking and do work." And that was the end of it. He signed it, and the last twenty-five minutes of class, he did a pretty decent job keeping his chatter under control.
The thing is - it only works if you use it. I was having a similar problem in another class with two students, and for whatever reason, it did not occur to me to pull out the infraction slips. Instead, it felt like I battled with them all class, trying to keep them on-task. Next class, if the same problems arise, I intend to give them the official verbal warning immediately and then go right to the infraction slip. Hopefully it will have the same effect as it did with the young man I discussed above!