Employee Warning Notice
Employee Warning Notice Requests must be filled out by the employee's supervisor or another member of management. It is then sent to the safety department and legal department for review PRIOR to serving the Warning Notice to the employee.
Submitter's Email
*
example@example.com
Date of Infraction:
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Company:
*
Please Select
James D. Morrissey, Inc.
JDM Materials
Eureka Stone Quarry
Employment Location/Job Site:
*
Employee's Name:
*
First Name
Last Name
Job Title:
*
Type of Warning:
*
Examples: First warning, Second warning, Third warning, Termination, etc.
Type of Infraction
*
Tardiness/leaving early
Excessive absence
Violation of company policies
Violation of safety standards
Substandard work
Rudeness/Harrassment of coworkers or customers
Insubordination
Other
Description of Infraction:
*
Supervisor's Name or Member of Management Initiating Request:
*
First Name
Last Name
Service Information
Date of Service:
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Supervisor or Member of Management Serving Warning Notice:
First Name
Last Name
Supervisor or Member of Management Signature:
Witness Name:
First Name
Last Name
Witness Signature:
Consequences of further infractions of this type or similar may constitute additional disciplinary actions including suspension and/or termination of employment.
Employee Name:
First Name
Last Name
Employee Signature:
Check here if employee refused signature.
Upload Signed Document
Submit
Should be Empty: