EMPLOYEE WARNING NOTICE
Employee Name: Date of Warning:
Employee Title: Store Location:
Manager: Verbal Written
TYPE OF INCIDENT/VIOLATION
Attendance Carelessness Insubordination
Tardiness/Early Quit Failure to follow directions Violation of safety rules
Rudeness to Employee/Customer Willful damage to material/equip Working on personal matters
Poor Performance Violation of Company Policy Other
PREVIOUS WARNINGS
Verbal Written Date Violation By Whom
1xt Warning
2nd Warning
3rd Warning
EMPLOYER STATEMENT EMPLOYEE STATEMENT
Date of Incident: Time: a.m/p.m.I Agree with Employer’s Statement
I Disagree with Employer’s Statement
The reasons are: _______________________
______________________________________
______________________________________
Signature:
______________________________________
Action to be taken: Warning Probation Suspension Dismissal Other: __________
If there are further incidents, we will impose further discipline up to and including dismissal.
_____________________________________________________________ ____/____/_____
Signature of Employee “I have read this Employee Warning Notice and understand it.“ Date
_____________________________________________________________ ____/____/_____
Signature of Manager Issuing the Warning
Signature of Manager Issuing the Warning Date