Employee Warning Notice

Employee Warning Notice
Date*

MonthDayYear
Location*
Employee Name*
Job Title*
Manager*
Type of Warning*
Type of Offense*
Description of Infraction:*
Plan for Improvement*
Consequences of Further Infractions*
Acknowledgment 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

Clear
Date

MonthDayYear
Manager Signature*

Clear
Date*

MonthDayYear
Witness Signature (If employee refuses to sign)

Clear
Date

MonthDayYear
Should be Empty:

Acknowledgment of Receipt of Warnings