This employee warning notice documents a violation by an employee, including the type of violation, date of incident, employer and employee statements, and any previous warnings. It specifies the action to be taken, such as a warning, probation, or dismissal. The employee, supervisor, and witness must sign and date the notice to acknowledge its contents.
This employee warning notice documents a violation by an employee, including the type of violation, date of incident, employer and employee statements, and any previous warnings. It specifies the action to be taken, such as a warning, probation, or dismissal. The employee, supervisor, and witness must sign and date the notice to acknowledge its contents.
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
1st Warning 2nd Warning 3rd Warning
Action to be taken _____Warning _____ Probation _____ Suspension _____ Dismissal _____ Other _____
Consequence should incident occur again________________________________________________________
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