Free employee warning notice 36Free employee warning notice 36Free employee warning notice 36
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Employee Warning
Notice
Employee Name_____________________________________________ Date __________________

Social Security Number ______________________________
Position ______________________________________ Department__________________________
Type of warning ❑ Verbal ❑ 1st Written ❑ 2nd Written ❑ Final Written Notice
Reason for warning

Supervisor’s statement

Employee’s statement

Recommended action

Previous Warnings
Type

Was this warning
for the same offense?

Date given

Reason

Given by

❑ Yes ❑ No 1st
❑ Yes ❑ No 2nd ❑ Yes
❑ No
Verbal

_________________ _______________________________ _________________
_________________ _______________________________ _________________
_________________ _______________________________ _________________

Employee’s signature ___________________________________________ Date _______________
Supervisor’s signature___________________________________________ Date _______________
Approval signature ___________________________________________