Employee Write Up Form

Employee Write Up Form
Division
Full Name

First NameLast Name
Account Name
Date of Incident

MonthDayYear
Witness Name

First NameLast Name
Nature of Incident
Employee

Incomplete and/or Inaccurate TimecardsIncomplete and/or Inaccurate Claim TicketsFailure to Follow Attendance and Punctuality PolicyWorking Unapproved OvertimeFailure to Comply with Dress and Grooming PolicyNot Returning Emails/Calls Within 24 HoursFailure to Lock VehicleDoors and/or Roll Up WindowsFailure to Meet Guest Service StandardsLack of Cooperation/TeamworkInsubordination and/or Failure to Follow InstructionsImproper Conduct
Other
Manager Only

Dishonesty Reporting Tips and/or Hours WorkedDestruction of Company PropertyViolation of Operational Policies and ProceduresViolation of the Tobacco or Substance Abuse PolicyViolation of the Sexual/Anti-Harassment PolicyViolation of the Anti-Violence PolicyUse of Electronic Devices While WorkingSubstandard Work/CarelessnessInability to Perform the Job In Relation to the Job Requirements
Other
Improper Administrative ReportingLeadership FailureViolation of the Non-Fraternization Policy
Other
Violation of Safety Rules/ At Fault Accident/IncidentFailure to Call In/Report to Work as Scheduled (No Call, No Show)Job Abandonment
Other
Facts of the Occurence
Employee Comments
Warnings And Suspensions
Verbal WarningWritten Warning
Suspension Dates
Timetable for Improvement

Immediate30 days60 daysOther
Consequences for Failure to Improve:
Discipline up to & including termination
Other
Separation of Employment
QuitTermination
Last Day of Work
If the employee quit, are they eligible to be rehired:

YesNo
How was the employee notified of the separation?

VerbalPhoneEmail
Signature of Employee
Date

MonthDayYear
Signature of Manager
Date

MonthDayYear
Signature of HR Manager
Date

MonthDayYear
*Please attach any emails or text messages that the employee sent about separation*
Should be Empty: