Employee Warning Notice
Date:_________________
This is a written warning of improper work conduct as described below. Failure to correct this conduct could result in disciplinary action including dismissal.
Details of improper conduct:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Corrective action necessary:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Has the employee been warned about this before?:____
Dates: ____________________________________
Warnings were _______ oral _______ written.
Employee Response: I hereby acknowledge that I have been informed of the misconduct and corrective action as described above. My response, if any, is included below:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Employee Signature:_____________________
Date:__________________
Employer/Supervisor Signature:_____________________
Date:__________________