Force Iron & Metal
Employee Warning Notice Employee Information Employee Name Employee # Place Violation Occurred Type of Warning Job Title Date Supervisor Job # Time
First/Verbal Warning Fourth Warning
Second Warning Final Warning Type of Offense Violation of Company Policies Violation of Safety Rules
Third Warning Terminated
Late/Leave Early Substandard Work Other:
Absenteeism Disobedience
Details COMPANY STATEMENT:
Comments:
EMPLOYEE STATEMENT:
Comments:
I CONCURE WITH THE COMPANYS STATEMENT I DISAGREE WITH THE COMPANYS STATEMENT
I HAVE ENTERED MY STATEMENT OF THE ABOVE MATTER
SIGNATURE:
DATE:
WARNING DECISION:
Comments:
Acknowledgement of Receipt of Warning
By signing this form, you confirm that you understand the information in this warning. You also confirm that you and your Supervisor/Manager have discussed the warning and a plan for improvement. Signing this form does not necessarily indicate that you agree with this warning.
Employee Signature Supervisor/Manager Signature Witness Signature(if employee understands warning but refuses to sign)
Date Date Date