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Employee Warning Notice Template

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.

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chihaya ayase
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386 views1 page

Employee Warning Notice Template

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.

Uploaded by

chihaya ayase
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
  • Employee Warning Notice Form: A template form for documenting employee warnings, listing types of violations, previous warnings, and including areas for employee and employer statements.

EMPLOYEE WARNING NOTICE

PLEASE PRINT

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________________________________________________________


_________________________________________________________________________________________

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

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