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Discipline Written Warning

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Written Warning

Employee Name: Job Title:

Department: Supervisor:

Date:

__  First Warning  __  Second Warning __  Final Warning

The purpose of this written warning is to bring to your attention new or ongoing
deficiencies in your conduct and/or performance. The intent is to define for you the
seriousness of the situation so that you may take immediate corrective action. This
written warning will be placed in your personnel file.

Reason for warning (violation of company policy or unsatisfactory


performance/behaviors):

Prior discussion or warnings on this subject (verbal/written, dates):

Relevant company policy violated:

Corrective action required:

Consequences of failure to improve performance or correct behavior:

The above has been discussed with me by my supervisor. I understand the contents
and acknowledge and understand the corrective action required. I also acknowledge
and understand the potential consequences of noncompliance.
Signatures:

Employee: Date:
__________________________________________________ __________

Supervisor: Date:
__________________________________________________ __________

Division/Dept. Manager: Date:


________________________________________ __________

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