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Correct an employee who has violated a rule or policy.

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SAMPLE EMPLOYEE WRITTEN WARNING
Date:  Employee's Name:  Department:
Title:     Date of Incident:

1. Has a verbal warning been given?

  • NoYes, the verbal warning was given on

2. Type of warning  

  • First written warning
  • Final written warning


3. Explain why this warning is being given (Additional information can be provided below).

4. Describe the employee's specific rule violation or performance problem:
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5. Describe the change in behavior that is expected of the employee:


6. Describe the consequences if this behavior is not changed:


7. Employee statement or rebuttal:
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

TO BE READ AND SIGNED BY THE EMPLOYEE:

The above problem(s) have been discussed with me, and I understand that failure to improve my performance or additional unsatisfactory behavior will result in further disciplinary action, up to and including suspension or termination. I understand that my signature does not necessarily signify agreement with the facts or actions stated. If I disagree, it is my option and responsibility to pursue an appeal as follows:

Employee's signature: ________________________________ Date: ____________________

-or-
Employee was asked to sign this written warning on   _______________   but declined to sign.

Witnessed by: ________________________________________ Date: ____________________
Name:
Title:

Supervisor's signature: _______________________________________ Date: _____________

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Here's the info you'll need to have handy to complete your doc:

  • Who it's going to

    Know the name and department of the employee who will be receiving this disciplinary notice.

  • Subject matter

    Have details of the rule violation or performance issue handy.

  • Dates

    Be clear about the date of any specific incident and any previous warnings.

  • Next steps

    Clarify the future expectations of behavior for the employee, as well as further disciplinary means if behavior doesn't change

What's an employee written warning?

When an employee violates a company policy, a written warning helps you in two ways. It offers a means of disciplining the employee in the hopes of improving their awareness and job performance, and it also creates documentation for the company should discipline or dismissal prove necessary in the future. Protect the integrity of your business with a employee written warning.

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Sample employee written warning

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Date:  Employee's Name:  Department:
Title:     Date of Incident:

1. Has a verbal warning been given?

  • NoYes, the verbal warning was given on

2. Type of warning  

  • First written warning
  • Final written warning


3. Explain why this warning is being given (Additional information can be provided below).

4. Describe the employee's specific rule violation or performance problem:
  • :
  • :
  • :
  • :
  • :
  • :
  • :
  • :
  • :
  • :
  • :
  • :
  • :
  • :
  • :
  • :


5. Describe the change in behavior that is expected of the employee:


6. Describe the consequences if this behavior is not changed:


7. Employee statement or rebuttal:
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

TO BE READ AND SIGNED BY THE EMPLOYEE:

The above problem(s) have been discussed with me, and I understand that failure to improve my performance or additional unsatisfactory behavior will result in further disciplinary action, up to and including suspension or termination. I understand that my signature does not necessarily signify agreement with the facts or actions stated. If I disagree, it is my option and responsibility to pursue an appeal as follows:

Employee's signature: ________________________________ Date: ____________________

-or-
Employee was asked to sign this written warning on   _______________   but declined to sign.

Witnessed by: ________________________________________ Date: ____________________
Name:
Title:

Supervisor's signature: _______________________________________ Date: _____________