EMPLOYEE WARNING REPORT(2)

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					EMPLOYEE WARNING REPORT


Employee Name_____________________________ Date of Warning ______________

Payroll No.__________________________

Type of Violation:                   WARNING: Violation: Date____________
□ Attendance □ Carelessness
□ Policy      □ Tardiness                     Violation: Time____________
□ Other_______________________________
_____________________________________         Place Violation Occurred___
_____________________________________

This is the 1st 2nd 3rd (circle) warning about matter

  Company Statement (just the facts)                     Employee Statement
                                                         Check Proper Box
                                                         □ I concur with the Company’s statement
                                                         □ I disagree with the statement for the following reasons:




                                                         I have entered my statement of the above matter
                                                         Employee’s signature____________ Date


                             Warning Decision and Action Taken




  Signature of Manager                                                                     Date




I have read this “warning decision” and understand it.


___________________________________________
Employee’s Signature                        Date




Rev. 4/17/12

				
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Lingjuan Ma Lingjuan Ma
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