EmailMe Form - Employee Warning Report

Name of supervisor *
First Last
Name of Officer receiving this warning report. *
First Last
Provide the name of the client / location / post / site of the place this report is being done. *
Use the same name as found on W2W. Look at the sign on the building or in the parking lot as needed. Where did the officer report to work?
Date and Time of Violation *
MM / DD / YYYY HH : MM AM/PM
Type of Violation *
Tardy
Absent
Early Out
No Call - No Show
Asleep
Not alert - Not aware of surroundings
Grooming not to standard
Improper / torn Uniform Shirt
Improper / torn Uniform Pants
Improper / torn Uniform Jacket
Missing / wrong ASI Badge
Missing / wrong Name Tag, Tape
Missing / wrong Uniform Belt
No Level 3 Holster
Missing State Registration Card
Violation of Post Orders
Insubordination
Other
Select one or more of the above as needed.
Tardy = Late to work.
Absent = not working scheduled shift.
Early Out = left post without permission.
No Call - No Show = Did not notify supervisor of absence & did not arrive to work.
Details or violation *
Upload Photos and/or Audio as needed.

Add File
Employee receiving this report: *
I agree with the above details of violation
I DO NOT agree with the above details of violation (Officer must provide remarks below)
Not present (Supervisor must provide remarks below)
Remarks of employee recieving this report
Remarks are not mandatory.
Remarks of supervisor completing this report
Remarks are not mandatory.
Warning Decision *
Employee must report to ASI main office
Early Out = Officer MUST report to ASI office and see Chief or Asst Chief
Employee relieved of duties =Officer MUST report to ASI office and senior staff
Any other listed Offense - See supervisor remarks below for warning decision.
Select one or more as needed. Decision does NOT have to be in order. Example, employee can be relieved of duty and/or told to report to ASI main office without receiving points or warnings; as deemed necessary by supervisor completing this report.
Warning decision per supervisor:
This could be written warning, training, re-evaluation, re-check at later date, mandatory purchase of required duty gear or other decision.
By signing this report - I (the employee listed above) confirm that the report was completed by (the supervisor listed above) and I understand the Warning Decision. I further understand a copy of this report will be available within the next 24 hours at the ASI main office. Leave blank if employee not available or refuses to sign.
Signature of employee receiving this report
Clear
By signing this report - I (the supervisor listed above) confirm that the report was completed by me.
Signature of supervisor completing this report *
Clear