Title Page
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Date
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Employee Name
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Department
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Position
- Server
- Runner/Busboy
- Bartender
- Host/Hostess
- Garde Manger
- Line Cook
- Prep Cook
- Dishwasher
Details/Reasons for Warning
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Date of Incident
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Type of Warning
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Previous Warning
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Type of Warning
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Reason for this Warning
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Employee Statement
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Change in Behavior Expected from Employee
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Consequences if Behavior is Not Corrected
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Employee Refused to Sign
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Date
Acknowledgement
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The above problem has 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 also understand that my signature doesn't necessarily signify agreement with the facts stated above.
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Employee Signature
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Date
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Manager Signature
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Date
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Witness Signature
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Date
