Employee Warning Form "*" indicates required fields Supervisor's Email* Select your Region VP* Carlos Rivera Eric Wheeler Jaime Restrepo Edita Gargovic Elgar Quijandria Employee Full Name* First Last Date of Warning* MM slash DD slash YYYY Date of Violation* MM slash DD slash YYYY Time of Violation* Hours : Minutes AM PM AM/PM Location Violation Occurred*Nature of Violation* Sub-Standard Work Negligent Intoxication Misconduct Insubordination Tardiness Absenteeism Other Describe Violation*Employee Warning Stage* Record of Conversation 1st Notice 2nd Notice Final Notice/Suspension Dismissed Must end document with clear statement – “Continued behavior will lead to further disciplinary action, including a written warning” Mandatory Additional Remarks* Continued behavior will lead to further disciplinary action, including a written warning. End warning with clear statement - "Continued behavior will lead to further disciplinary action, including a second written warning" Mandatory Additional Remarks* Continued behavior will lead to further disciplinary action, including a second written warning End warning with clear statement - "Continued behavior will lead to further disciplinary action, including a final written warning and suspension" Mandatory Additional Remarks* Continued behavior will lead to further disciplinary action, including a final written warning and suspension End final warning with clear statement - "This is your final warning. Any further instances of continued behavior will result in termination” Mandatory Additional Remarks* This is your final warning. Any further instances of continued behavior will result in terminationMandatory Additional Remarks*Consents and Acknowledgments* I have read and acknowledge that I received, understood and ACCEPT the warning. I have read and acknowledge that I have read and OBJECT the warning. Employee SignatureSupervisor/Manager Signature* Δ
