Note: This document is for informational purposes only and may not be appropriate for
your situation. Please consult an attorney for all legal matters.
EMPLOYEE WARNING NOTICE FORM
Employee Name: Date:
First Warning Second Warning Other
Previous discipline meeting was held on:
1. Your behavior/actions have been found unsatisfactory for the following reasons:
Refusal to work overtime
Failure to follow procedure
Failure to meet performance
Details of unsatisfactory behavior/actions:
2. The following immediate and sustained corrective action must be taken by the employee.
Failure to do so will result in further disciplinary action up to and including termination.
4. Follow-up meeting will be held on:
Note: Your signature on this form means that we have discussed the
situation. It doesn’t necessarily mean you agree that the infraction
Manager’s Signature: Date: