Employee Warning Form

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Employee Warning Form
Employee Name: __________________________
Date: _____________________
Position: ___________________________
Location: _____________________
Employee Status:
Full Time
Part Time
Probationary employee
Purpose: A warning provides a formal opportunity for a supervisor to help an employee understand where
improved performance is expected, and to provide a written record of each counseling session:
Counseling Session
Verbal Warning
Written Warning
Final Written Warning
There is no requirement that all steps in the discipline progression must be followed as the company has
discretion to decide on the penalty depending on the nature of the offense.
PROBLEM AREA (Note below specific problems - issues, occurrences, dates, times, etc.):
Violation of company policy
Poor work and performance
Insubordination
Safety violation
Absenteeism or Tardiness
Damage to company property
Misconduct
Physical or verbal assault or fighting
Alcohol or drug policy violation
Failure to complete work assignment
Other (note specific problem below): _________________________________
IMPROVEMENT REQUIRED: Was employee told about how to correct the situation?
Yes
No
EMPLOYEE COMMENTS:
Failure to correct the above violation(s), or further violations of company policies and procedures, will result
in further disciplinary action up to and including termination.
Manager Signature: ____________________________ Date: ______________
My signature acknowledges that I have received this warning form:
Employee Signature: ________________________
Date:_______________
To be placed in Employee Personnel File
1
Employee Warning Form
Employee Name: __________________________
Date: _____________________
Position: ___________________________
Location: _____________________
Employee Status:
Full Time
Part Time
Probationary employee
Purpose: A warning provides a formal opportunity for a supervisor to help an employee understand where
improved performance is expected, and to provide a written record of each counseling session:
Counseling Session
Verbal Warning
Written Warning
Final Written Warning
There is no requirement that all steps in the discipline progression must be followed as the company has
discretion to decide on the penalty depending on the nature of the offense.
PROBLEM AREA (Note below specific problems - issues, occurrences, dates, times, etc.):
Violation of company policy
Poor work and performance
Insubordination
Safety violation
Absenteeism or Tardiness
Damage to company property
Misconduct
Physical or verbal assault or fighting
Alcohol or drug policy violation
Failure to complete work assignment
Other (note specific problem below): _________________________________
IMPROVEMENT REQUIRED: Was employee told about how to correct the situation?
Yes
No
EMPLOYEE COMMENTS:
Failure to correct the above violation(s), or further violations of company policies and procedures, will result
in further disciplinary action up to and including termination.
Manager Signature: ____________________________ Date: ______________
My signature acknowledges that I have received this warning form:
Employee Signature: ________________________
Date:_______________
To be placed in Employee Personnel File
1

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