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
Date

MonthDayYear
Manager Signature
Date

MonthDayYear
Witness Signature (If employee refuses to sign)
Date

MonthDayYear
Should be Empty:

Acknowledgment of Receipt of Warnings