Employee Write Up Form

Hi,

Here's an outline of a Employee Warning Notice. Hope this helps.

BW


Employee: ___________________________________________

Department: _________________________________________

Steps:

[] Verbal Warning
[] Written Warning
[] Suspension without Pay
[] Dismissal

1. Statement of the problem: (specific violation of rules, safety requirements, company practices or unsatisfactory performance.)



2. Prior discussion or warnings on this subject: (dates and whether oral or written.)




3. Identify the relevant company policy on this subject.




4. Summary of corrective action to be taken: (Include timeline for improvement and plans for follow-up.)




5. Employee comments (Employee does not have to agree with the Company’s actions, but the Employee is nevertheless required to follow the corrective action set forth herein):





Employee is warned that any further violations of company policy, safety rules, company practices or unsatisfactory performance will result in disciplinary action, up to and including termination of employment.





______________________________________________ __________ Employee Signature Date


______________________________________________ __________ Supervisor Signature Date