Information
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Conducted on
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Prepared by
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Personnel
Employee Information
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Employee Name
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Must put Name
Type of Warning
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Type of Warning
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You do not have to enter Plan for Improvement
Type of Offense
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Type of Offense
- Tardiness/Leaving Early
- Absenteeism
- Violation of Company Policies
- Substandard Work
- Violation of Safety Rules
- Rudeness to Customers/Coworkers
- Other
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Enter Other Reason
Details
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Description of Infraction
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Plan for Improvement
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Consequences of Further Infractions
Acknowledgement of Receipt of Warning
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Employee Signature
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Witness Signature (if employee understands warning but refuses to sign)
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Manager Signature