Employee Discipline Warning Notice Page 2
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26. If corrective action is not taken, the consequence will be:
Last written warning
Suspension
Last chance
Termination
Other (specify):
Discussion:
7. Follow-up meeting will be held on:
Employee comments:
Supervisor comments:
Employee signature:
Date:
Note: Your signature on this form means that we have discussed the situation. It doesn’t necessarily mean you agree
that the infraction occurred. This will become part of my permanent employee record.
Supervisor signature:
Date:
Cc: Employee
Supervisor
Human Resources/Personnel File
Revised 10.2014
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