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Emp Warning Note

This employee warning notice documents a violation by an employee. It lists the employee's name and social security number. The violation included the date, time, and reason selected from a list that included absenteeism, substance abuse, attitude problems, and other issues. The supervisor provided an explanation of the violation and any other employees or witnesses involved. As a result of the violation, the employee received a warning, probation, suspension, or other action. The notice also indicates if the employee had any prior warnings and signatures are required from the employee and supervisor.

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John A Merlino
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164 views1 page

Emp Warning Note

This employee warning notice documents a violation by an employee. It lists the employee's name and social security number. The violation included the date, time, and reason selected from a list that included absenteeism, substance abuse, attitude problems, and other issues. The supervisor provided an explanation of the violation and any other employees or witnesses involved. As a result of the violation, the employee received a warning, probation, suspension, or other action. The notice also indicates if the employee had any prior warnings and signatures are required from the employee and supervisor.

Uploaded by

John A Merlino
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 WARNING NOTICE

COMPANY NAME:
1. EMPLOYEE INFORMATION

Employee Name: Social Security #:

2. VIOLATION / WARNING

Date of Violation: Time of Violation: am / pm

Reason for Warning / Nature of Violation (Check ALL that Apply):


… Absenteeism/Tardiness … Substance Abuse … Attitude Problems
… Disobedience … Carelessness/Safety Violation … Insubordination
… Misconduct … Substandard Work Performance … Other

SUPERVISOR’S EXPLANATION: (Please complete this section in as much detail as possible. Use the other side of
form, if necessary.) Other employees involved / witnesses? NO ____ YES ____ If YES, include name(s) in Explanation.

3. ACTION TAKEN

… WARNING … PROBATION / No. OF DAYS: … SUSPENSION / No. OF DAYS:

… OTHER:

4. PRIOR WARNINGS / WRITTEN NOTICES

Does employee have prior Warning Notices on file? YES ____ NO ____
st nd rd
WARNING: 1 ______ 2 ______ 3 ______ FINAL ______

5. SIGNATURES:

Employee Supervisor

Date: Date:

IF THE EMPLOYEE REFUSES TO SIGN THIS FORM OR DISAGREES WITH THE SUPERVISOR’S STATEMENT, PLEASE SIGN BELOW.
(The Employee may add his/her comments to this Notice).

Employee Supervisor

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