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Created on 12/12/01
EMPLOYEE WARNING NOTICE
Employee Name: Date of Warning:
Employee Title: Store Location:
Manager: Verbal Written
TYPE OF INCIDENT/VIOLATION
PREVIOUS WARNINGS
EMPLOYER STATEMENT EMPLOYEE STATEMENT
Date of Incident: Time: I Agree with Employer’s Statement
I Disagree with Employer’s Statement
Action to be taken: Warning Probation Suspension Dismissal Other: __________
If there are further incidents, we will impose further discipline up to and including dismissal.
_____________________________________________________________ ____/____/_____
Signature of Employee “I have read this Employee Warning Notice and understand it.“ Date
_____________________________________________________________ ____/____/_____
Signature of Manager Issuing the Warning Date
The reasons are: _______________________
______________________________________
______________________________________
______________________________________
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