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Forms Library  →  Performance & Conduct

Written Warning / Disciplinary Notice

A formal written warning covering incident details, policy violated, expectations, and consequences. Free download as PDF, Word, or text.

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WRITTEN WARNING / DISCIPLINARY NOTICE

Confidential — retain in personnel file

  • Employee: [EMPLOYEE NAME] | Job title: [JOB TITLE] | Department: [DEPARTMENT]
  • Manager: [MANAGER NAME]
  • Date of warning: [DATE]
  • Warning level: [ ] First written warning [ ] Second written warning [ ] Final written warning

Incident description

  • Date(s) of incident: [DATES]
  • Location: [LOCATION]
  • What happened: [FACTUAL DESCRIPTION — who, what, when, where. Attach statements if applicable.]
  • Witnesses (if any): [NAMES]

Policy or expectation violated

[REFERENCE THE SPECIFIC POLICY, HANDBOOK SECTION, OR PRIOR EXPECTATION — e.g. Handbook §4.2 Attendance; PIP dated (date).]

Prior related actions

[ ] None [ ] Verbal counseling on [DATE] [ ] Prior written warning(s) on [DATES]

Corrective expectations

[STATE EXACTLY WHAT MUST CHANGE, BY WHEN, AND HOW COMPLIANCE WILL BE MEASURED.]

Consequences

Further violations may result in additional disciplinary action, up to and including termination of employment.

Employee comments (optional)

___________________________________________________________________________

Acknowledgment

My signature confirms receipt and discussion of this notice. It does not necessarily indicate agreement. Refusal to sign will be noted with a witness present.

Showing the first section — the download includes the complete template.

Please note: General template only — not legal advice. Have employment counsel review before use, especially for state-specific requirements.

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