Employee Written Warning

WRITTEN WARNING DISCIPLINE NOTICE



Employee’s Name: ________________________________ Date: __________________



Department: ______________________________________ Date of Incident: ________



1. Has a verbal warning been given?



Yes____ No ____



If yes, date(s) of verbal warning(s) ____________________________



2. Type of warning



 First written warning

 Final written warning



3. Explain why this warning is being given. Check all that apply (Additional

information can be provided below).





 Tardiness  Failure to give timely  Timecard/time clock violation

notification of absence



 Excessive  Safety violation  Unauthorized overtime

absenteeism



 Poor job performance  Insubordination  Under the influence of drugs/alcohol





 Personal  Sexual harassment  Intentional or negligent damage to

business/conversation company property

during work

 Physical or verbal  Unauthorized removal of  Failure to get along with fellow

assault/fighting company property employees







4. Describe the employee’s specific rule violation or performance problem:

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________



5. Describe the change in behavior that is expected of the employee :



___________________________________________________