Employee Warning Notice Employee Name Date of Warning TYPE OF VIOLATION Attendance Late/Early Quit Unauthorized Absences Work Quality Carelessness Refusal To Work Overtime Damage to Company Property Insubordination Safety Violation Working on Personal Matters OtherOther DISCIPLINARY ACTION YES NO if yes, please describe EMPLOYER STATEMENT PREVIOUS WARNINGS list all warnings for this violation that have not been previously reported. Oral or Written Warning ORAL WRITTEN DATE BY WHOM Add Remove TO BE FILLED OUT BY EMPLOYEE Employee has I agree with Employer's Statement I disagree with Employer's description of the violation for the following reasons: EMPLOYEE STATEMENT employee sig box I have read this Warning Notice and understand it. Employee Signature Clear Date EMPLOYER & WITNESS SIGNATURE If the employee refused to sign this form click here: Check here If the employee refused to sign this form Supervisor Signature Clear Date Witness Signature Clear Date If you are human, leave this field blank. Submit