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Employee Warning Notice
Employee Information
Employee Name:
Employee ID:

Date:
Job Title:

Manager:

Department:

Type of Warning
First Warning

Second Warning

Tardiness/Leaving Early
Substandard Work

Absenteeism
Violation of Safety Rules

Final Warning

Type of Offense
Violation of Company Policies
Rudeness to Customers/Coworkers

Other:

Details
Description of Infraction:

Plan for Improvement:

Consequences of Further Infractions:

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

Date

Manager Signature

Date

Witness Signature (if employee understands warning but refuses to sign)

Date

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