Employee Write-Up Form

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Employee Write-up Form
Employee Information
/
/
Employee Name
Date
Location
Job Title
Manager Name
Type of Warning
Verbal Warning
First Warning
Second Warning
Final Warning
Type of Offense
Tardiness/ Leaving Early
Absenteeism
Violation of Company Policies
Substandard Work
Violation of Safety Rules
Other:
Description of Infraction:
Plan for Improvement
Consequences of Further Infractions:
Acknowledgment of Receipt of Write-up
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.
Employee Signature:
Date:
Manager Signature:
Date:
Witness Signature:
Date:

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