Employee Warning Form

Employee name: ------------------------------------------ Date: -----------------------

Position: --------------------------------------------Department: -----------------------------


----------- First warning ---------- Second warning --------- Third warning

Description of problem requiring improvement or change (include dates & situations):
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List specific changes in performance or behavior required and the time frame in which they are expected to occur:
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Date of reevaluation of problem and correction: -------------------------------------------

Failure of employee to correct problem may result in further disciplinary action up to and including termination of employment.

Employee comments: --------------------------------------------------------------------
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Employee signature: ---------------------------------------- Date: --------------------------


Document if employee declines to comment or sign and obtain witness signature.

Manager comments:----------------------------------------------------------------------
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Manager signature: --------------------------------------------Date: -------------------

 

Next level of supervision or witness signature: -------------------------------------