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Quirk Auto Dealers
Employee Warning Notice
Employee Information
Employee Name:

Date:

Employee ID:

Job Title:

Manager:

Department:

Type of Warning
First Warning

Second Warning

Final Warning

Type of Offenses
Tardiness/Leaving Early

Absenteeism

Violation of Company Policies

Performance

Violation of Safety Rules

Work place violence/Harassment

Other:

Details
Date and description of violation. Did violation occur during work hours?

Consequences for further violations:

Employee Comments:

Acknowledgment of Receipt of Warnings
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