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Company Name YOUR LOGO HERE Employee Information Employee Name: Employee ID: Manager: Department: Employee Warning Notice Type of Absence Requested: First Warning Second Warning Final Warning Tardiness/Leaving Early Violation of Company Policies Substandard Work Absenteeism Violation of Safety Rules Manager Approval Description of Infraction: Manager Signature Date: Job Title: Type of Warning Type of Warning Rudeness to Customers/Coworkers Other: _________________________________________________________________________________________ Plan for Improvement: Consequences of Further Infractions: Acknowledgement of Receipt of Warning Employee Signature Witness Signature (if employee understands warning but refuses to sign By signing this form, you confirm that you understand the information in this warning. You also confirm that you and your manager have discussed the warning and a plan for improvement. Signing this form does not necessarily indicate that you agree with this warning.