Free employee warning notice 56Free employee warning notice 56Free employee warning notice 56
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Employee Warning Notice

Grand Forks County
151 South 4th Street, PO Box
5726 Grand Forks, ND 58206

Employee Name
Position
WARNINGS:

Date of Warning
Department
Oral

Written

Employer Statement
Date of Incident

Employee Statement
I agree with Employer's statement.
I disagree with Employer's description of violation for these reasons:

EMPLOYEE SIGNATURE

DATE

CORRECTIVE ACTION PLAN:

Action to be taken

Warning

Probation

Suspension

Dismissal

Consequence should incident occur again

I have read this Employee Warning Notice and understand it.
SIGNATURE OF EMPLOYEE

DATE

Other

SIGNATURE OF SUPERVISOR WHO ISSUED WARNING

DATE