Employee Warning 

Employee name: 							 Date: 				
Position: 					Department: 						
			
Description of problem requiring improvement or correction (include specific dates & examples):

													

Specific changes in performance or behavior required and the time frame in which they must occur:

													

Date of follow-up review/evaluation of problem and correction: 					

Failure of employee to correct problem may result in further disciplinary action up to and including termination of employment.

Employee comments: 											
													
_____________________________________________________________________________________

Employee signature: 						 Date: 			
(EE has 48 hours to submit a written objection to this warning.)

Supervisor signature: 						 Date: 			
			
Witness Signature: 						 Date: _______________