Employee Warning

Employee Information

Employee Name

First

Middle

Last

Employee ID

Position

Department Department

Supervisor Name

First

Last

Warning Type

Warning

First Warning

Second Warning

Third Warning

Final Warning

Offense Type

Incident Details

Incident Date

Incident Time

Description of the Offense Committed

Corrective Action Taken

Action Plan for Improvement

Employee's Statement

Acknowledgement

By signing this form, you confirm that you understand the information in this warning. You also confirm that you and your
supervisor have discussed the warning and a plan for improvement. Signing this form does not necessarily indicate that you agree with this warning.

Employee Signature

Clear

Supervisor Signature

Clear

Date

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