Employee Warning Notice

Employee Warning Notice
Employee Information
Field or Office?*
Employee Name:*

First NameLast Name
Date*

MonthDayYear
Date
Job Title:*
Manager:*
Department:*
Type of Offenses
Type of Offenses:*

Tardiness/ Leaving EarlyAbsenteeismViolation of Company PoliciesSubstandard WorkViolation of Safety RulesRudeness to Customers/ Co-WorkersOther
If Other explain:
Attach Applicable Photos/Files to Document Infraction/Violation:

Browse Files

Cancelof
Details
Description of Infraction:*
Plan for Improvement:*
Consequences of Further Infractions:*
Acknowledgement of Receipt of Warnings
By signing this form, you confirm that you understand the information in this warning. You also confirm that you and your manager have discussed the warning and a plan for improvement. Signing this form does not necessarily indicate that you agree with this warning.
Employee Signature*
Date*

MonthDayYear
Date
Manager Signature*
Date*

MonthDayYear
Date
If Employee understands the warning but refuses to sign please select "Yes" otherwise Select "No"
Does employee understand the warning but refuse to sign?*

YesNo
Witness Signature
Date

MonthDayYear
Date
Should be Empty:

Employee Information