Employee Warning Notice

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EMPLOYEE WARNING NOTICE

Employee name: [Name]

Job title: [Title]

Department: [Department]

Supervisor: [Name]

Date of notice: [MM/DD/YYYY]

Type of warning: [ ] Verbal (documented) [ ] First written [ ] Final written

Category: [ ] Attendance [ ] Performance [ ] Conduct [ ] Policy violation [ ] Safety [ ] Other

DESCRIPTION OF THE ISSUE (DATES, FACTS, AND THE POLICY INVOLVED):

[ ]

PREVIOUS DISCUSSIONS OR WARNINGS (DATES):

[ ]

EXPECTED IMPROVEMENT AND DEADLINE:

[ ]

CONSEQUENCES IF THE ISSUE CONTINUES:

[ ]

EMPLOYEE COMMENTS:

[ ]

By signing, the employee acknowledges receiving this notice. Signing does not mean the employee agrees with it.

Employee signature / date: ______________________________

Supervisor signature / date: ______________________________

Witness signature / date (if refused): ______________________________

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