HTML Preview Official Warning Letter Format page number 1.
Employee Name Date of Warning
Employee Payroll # Department Shift
1. Type of Violation
Attendance Tardiness or early quit
Failure to follow instructions Carelessness
Unsatisfactory work quality Working on personal matters
Violation of safety rules Willfull damage to material or equipment
Rudeness to employees or customers Violation of company policies or procedures
Othe
r
2. Previous Warnings
1st Warning
2nd Warning
3rd Warning
3. Employer Statement
Date of Incident Time
4. Employee Statement
I agree with Employer's Statement.
I disagree with Employer's description of violation for these reasons:
5. Action(s) to be taken
Warning Probation Suspension Dismissal Othe
r
Consequence should incident occur again
6. Notice acknowledgment
I have read this Empoyee Warning Notice and understand it.
Signiture of employee
Signiture of supervisor who issued warning
(Rev. 08/03) f.x.hr.wa
Employee Warning Notice
Oral Written Date By whom