This employee warning notice documents a formal warning being given to an employee for violating workplace policies or procedures. It records the employee's name, date of warning, department, type of infraction, any previous warnings, the employer's statement of the incident, the employee's statement, and the disciplinary action being taken. The employee signs to acknowledge they understand the warning.

1. Employee Warning Notice
Employee Name: _____________________________ Date of Warning: __________________________
Branch/Department Name: ______________________________________________________________
Type of Warning
1 Attendance 1 Carelessness 1 Insubordination
1 Lateness or Early Quit 1 Failure to Follow Instructions 1 Violation of Safety Rules
1 Rudeness to Employees 1 Willful damage to Material 1 Working on Personal
or Customer or Equipment Matters
1 Unsatisfactory Work 1 Violation of Company 1 Other: __________________
or Quality Policies or Procedures
Previous Warnings
Oral Written Date By Whom
1st
Warning
2nd
Warning
3rd
Warning
Employer Statement Employee Statement
Date of Incident _______________ Time ________ Date of Incident _______________ Time ________
Employee Signature: _____________________
Action to Be Taken 1 Warning 1 Probation 1 Suspension
1 Dismissal 1 Other: _________________
I have read this Employee Warning Notice and understand it.
____________________________________ Date: ________________________
Signature of Employee