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Warning Form 3

This employee disciplinary action form documents a violation by an employee in their department. It includes information about the date and time of violation, where it occurred, statements from the employer and employee, and the supervisor's warning decision. Any previous warnings are also listed, and the employee signs to acknowledge receiving a copy of the warning decision.

Uploaded by

Antonio Lionetti
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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25 views1 page

Warning Form 3

This employee disciplinary action form documents a violation by an employee in their department. It includes information about the date and time of violation, where it occurred, statements from the employer and employee, and the supervisor's warning decision. Any previous warnings are also listed, and the employee signs to acknowledge receiving a copy of the warning decision.

Uploaded by

Antonio Lionetti
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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EMPLOYEE DISCIPLINARY ACTION FORM

Employee: Department: TYPE OF VIOLATION:


Attendance Safety Other

Date of Warning: Supervisor: WARNING:


Disobedience Work Quality

Carelessness
Tardiness

Violation Date: Violation Time: (a.m. / p.m.) Place Violation Occurred:

EMPLOYER STATEMENT

EMPLOYEE STATEMENT

WARNING DECISION

Approved by: Name


List All Previous Warnings (when warned and by whom): Previous Warning: Date Verbal Written Previous Warning: Date Verbal Written Previous Warning: Date Verbal Written 3rd Warning Supervisor's Signature Date 2nd Warning Signature of person who prepared warning Date Employee Signature Date 1st Warning

Title

Date

I have read this "warning decision". I understand it and have received a copy of the same.

Employee

COPY DISTRIBUTION HR Dept Supervisor

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