EmailMeForm
Employee Warning Notice
Name
*
First
Last
Employee Number
Email
Confirm
Department
*
Please select
Patrol
Administrative
Accounting
Sales
Marketing
Employee's Phone
###
-
###
-
####
Date of Write Up:
MM
/
DD
/
YYYY
HH
:
MM
AM
PM
AM/PM
A description of Write Up
Date of Incident:
MM
/
DD
/
YYYY
HH
:
MM
AM
PM
AM/PM
Rate this write up!
*
Small
1
2
3
4
5
Major
Type of Warning
*
First Warning
Second Warning
Final Warning
Type of Offense
*
Please select
Tardiness/Leaving Early
Absenteeism
No Call No Show
Violation of Company Policies
Substandard Work
Violation of Safety Rules
Rudeness to Customers/Coworkers
Other
Description of Infraction:
*
Plan for Improvement:
*
Consequences of Further Infractions:
*
Request a OPS Investigation:
Yes
No
Supervisors may upload files that support writeup
Add File
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 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
Clear
Manager Signature
Clear
Witness Signature (if employee understands warning but refuses to sign)
Clear
