EMPLOYEE WARNING NOTICE
P
P
LEASE
RINT
Employee Name _________________________________
Employee Number __________________
Date of Warning _____________________ Location__________________________________________
Type of Violation (check one)
Attendance
Misconduct
Dress Code
Insubordination
Policy Violation
Lateness or
Failure to Follow
Violation of Safety
Violation of Company
Early Quit
Instructions
Policies
Policy
Job
Willful Damage to
Unsatisfactory
Cash Overage/Shortage
Abandonment
Material or Equipment
Performance
Unsatisfactory
Dishonesty
Other:
Other:
Performance
Employer Statement
Employee Statement
Date of Incident ______________
______ I agree with employer’s statement
I disagree with employer’s statement
________
_________________________________________
_______________________________________
_________________________________________
_______________________________________
_________________________________________
_______________________________________
_________________________________________
_______________________________________
_________________________________________
_______________________________________
Previous Warnings
Oral
Written
Date
By Whom
st
1
Warning
nd
2
Warning
rd
3
Warning
Action to be taken _____Warning _____ Probation _____ Suspension _____ Dismissal _____ Other _____
Consequence should incident occur again________________________________________________________
_________________________________________________________________________________________
I have read this Employee Warning Notice and understand it.
_____________________________
__________________________
________________________
Signature of Employee
Employee Name Printed
Date
_____________________________
__________________________
________________________
Supervisor Issuing Warning
Supervisor Name Printed
Date
_____________________________
__________________________
________________________
Witnessed By
Witness Name Printed
Date