Complete the Open Blocks to Prepare an Employee Written Warning Notice
Date:
January
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September
October
November
December
*Select Month*
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*Select Day*
2013
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2015
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*Select Year*
From:
(Example: Mr. John S. Doe or John S. Doe)
To:
(Example: Ms. Jane F. Doe or Jane F. Doe)
Subject:
Written Letter of Concern
Written Counseling Notice
Written Warning Notice
Admonishment Notice
Reprimand Notice
Final Warning Notice
Suspension Notice
Unpaid Administrative Leave Pending Completion of Investigation
Paid Administrative Leave Pending Completion of Investigation
Termination Notice
*Select the Type of Warning Notice being Issued*
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Tardiness
Absenteeism
Disrespectful Behavior
Insubordination
Gossiping
Sexual Harassment
Safety Violation
Not Safeguarding Sensitive information
Poor Personal Hygiene
Poor Performance
Misconduct
Administrative Investigation
*Select the Overall Reason for the Warning Notice*
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**********************************Tardiness**********************************
Employee was tardy 1 time without prior approval from your supervisor
Employee was tardy 2 times without prior approval from your supervisor
Employee was tardy 3 times without prior approval from your supervisor
Employee was tardy 4 times without prior approval from your supervisor
Employee was tardy 5 times without prior approval from your supervisor
*********************************Absenteeism********************************
Employee had one unscheduled absent period
Employee had two unscheduled absent periods
Employee had three unscheduled absent periods
Employee had four unscheduled absent periods
Employee had five unscheduled absent periods
*****************************Disrespectful Behavior***************************
Employee was involved in inappropriate horseplay
Employee used inappropriate language and directed it toward a coworker
Employee used used inappropriate body language and directed it toward a coworker
Employee made discriminatory comments toward a coworker
Employee inappropriately raised their voice in a derogatory manner toward a coworker
Employee displayed disruptive behavior and directed it toward a coworker
Employee used inappropriate language and directed it toward a customer
used inappropriate body language directed at a customer
made discriminatory comments directed at a customer
inappropriately raised their voice in a derogatory manner toward a customer
displayed disruptive behavior toward a customer
used inappropriate language directed at a visitor
used inappropriate body language directed at a visitor
made discriminatory comments directed at a visitor
inappropriately raised their voice in a derogatory manner toward a visitor
displayed disruptive behavior toward a visitor
used inappropriate language directed at a supervisor
used inappropriate body language directed at a supervisor
made discriminatory comments directed at a supervisor
inappropriately raised their voice in a derogatory manner toward a supervisor
displayed disruptive behavior toward a supervisor
used inappropriate language directed at a company official
used inappropriate body language directed at a company official
made discriminatory comments directed at a company official
inappropriately raised their voice in a derogatory manner toward a company official
displayed disruptive behavior toward a company official
********************************Insubordination********************************
insubordinate to a supervisor
intentionally refused to follow their supervisor's direction
arguing and intentionally refusing to follow their supervisor's direction
insubordinate to a company official
intentionally refused to follow a company official's direction
arguing and intentionally refusing to follow a company official's direction
**********************************Gossiping**********************************
participating in idle talk/rumor about the personal or private affairs of others
participating in idle talk/rumor about the personal or private affairs of a coworker
participating in idle talk/rumor about the personal or private affairs of another employee
******************************Sexual Harassment******************************
sexually harassing a coworker by using unwelcomed sexually explicit language
sexually harassing a customer by using unwelcomed sexually explicit language
sexually harassing a visitor by using unwelcomed sexually explicit language
sexually harassing a vendor by using unwelcomed sexually explicit language
sexually harassing a supervisor by using unwelcomed sexually explicit language
sexually harassing a subordinate by using unwelcomed sexually explicit language
sexually harassing a coworker by using unwelcomed sexually suggestive language
sexually harassing a customer by using unwelcomed sexually suggestive language
sexually harassing a visitor by using unwelcomed sexually suggestive language
sexually harassing a vendor by using unwelcomed sexually suggestive language
sexually harassing a supervisor by using unwelcomed sexually suggestive language
sexually harassing a subordinate by using unwelcomed sexually suggestive language
sexually harassing a coworker by touching them in an unwelcomed manner
sexually harassing a customer by touching them in an unwelcomed manner
sexually harassing a visitor by touching them in an unwelcomed manner
sexually harassing a vendor by touching them in an unwelcomed manner
sexually harassing a supervisor by touching them in an unwelcomed manner
sexually harassing a subordinate by touching them in an unwelcomed manner
sexually harassing a subordinate by requesting sexual favors (quid pro quo)
sexually harassing a subordinate by engaging in a sexual relationship
********************************Safety Violation*******************************
involved in an unsafe act
involved in an unsafe act due to failure to follow established work practices
involved in an unsafe act by failure to follow the proper lockout tag out procedure
involved in an unsafe act by failure to wear the proper PPE
**********************Safeguarding Sensitive information***********************
not safeguarding sensitive information
not properly logging off your computer
inappropriately releasing personal information
inappropriately discussing personal information
failed to properly secure sensitive information
*******************************Personal Hygiene*******************************
not in the proper uniform
not in a clean uniform
not wearing the uniform properly
displayed poor personal hygiene
not properly shaven
wearing excessive perfume
wearing excessive cologne
not properly groomed - hair was not neatly brushed/combed
****************************Poor Performance******************************
not meeting the minimum standards of the position
not meeting the minimum standards during the probationary period
******************************Misconduct*********************************
loafing while on duty
loitering while on duty
sleeping while on duty
engaging in personal business while on duty
willfully giving false testimony/statement during an investigation
willfully giving false testimony/statement during an official inspection
failure to acquire or renew a required license for your profession >
willfully failing to comply with a state or federal health regulation
willfully failing to comply with a state or federal safety regulation
willfully failing to comply with a state or federal employment regulation
willfully misusing company property
willfully abusing company property
being out of your work area without proper approval from your supervisor
found in possession of the personal property of another individual
willfully gaining access to information you were not authorized to have
willfully gaining access to an area you were not authorized to be in
returned to company property after your assigned shift without authorization
working overtime without proper approval of your supervisor
threatening harm to a coworker
threatening harm to a supervisor
threatening harm to a company official
threatening harm to a visitor
threatening harm to a customer
fighting while on company property with a coworker
fighting while on company property with a supervisor
fighting while on company property with a company official
fighting while on company property with a visitor
fighting while on company property with a customer
in possession of a firearm
in possession of a knife
in possession of a weapon
soliciting without prior approval from your supervisor
unauthorized use of a cellular telephone while on duty
unauthorized use of a telephone while on duty
unauthorized use of a company telephone
unauthorized use of a company cellular telephone
unauthorized use of a company computer
unauthorized use of company equipment
unauthorized use of company supplies
willful destruction of company property
willful destruction of personal property while on company property
willfully using a company vehicle for personal use
willfully using a company credit card for personal use
willfully using company funds for personal use
reported to work under the influence of alcohol
reported to work under the influence of illegal drugs
reported to work in an unsafe condition to perform their job duties
was in possession of alcohol while on duty
was in possession of illegal drugs while on duty
*Select the Actual Reason for this Warning Notice*
********************
January
February
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April
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October
November
December
*Select Month*
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*Select Day*
2013
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*Select Year*
Date of the Offense
January
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November
December
*Select Month*
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*Select Day*
2013
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*Select Year*
Date of the 2nd Offense Example 2 Tardy Periods.
January
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December
*Select Month*
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*Select Day*
2013
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*Select Year*
Date of the 3rd Offense Example 3 Tardy Periods.
January
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November
December
*Select Month*
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*Select Day*
2013
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*Select Year*
Date of the 4th Offense Example 4 Tardy Periods.
January
February
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December
*Select Month*
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*Select Day*
2013
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*Select Year*
Date of the 5th Offense Example 5 Tardy Periods.
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Explain in written format the details of what happened, such as, what the employee said when you asked them about it. Whatever you write will be placed into the actual letter so be sure to put it in the proper format and make sure you are spelling things correctly.
Examples:
When I met with you on December 2, 2014, immediately after you arrived twenty-five minutes tardy you stated that you had over slept again. This is the third time you have been tardy since November 3, 2014. On all three times you stated you had over slept.
When asked whether you might have inappropriately touched Ms. Henderson on January 2, 2015, you stated that you did because you thought she was flirting with you.
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Written Letter of Concern
Written Counseling Notice
Written Warning Notice
Admonishment Notice
Reprimand Notice
Final Warning Notice
Suspension Notice
Termination Notice
*If Previously Disciplined - What Type?*
If Prior Discipline - Select the Type
January
February
March
April
May
June
July
August
September
October
November
December
*Select Month*
1
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31
*Select Day*
2013
2014
2015
2016
2017
2018
2019
2020
*Select Year*
Select the Date
**********
Written Letter of Concern
Written Counseling Notice
Written Warning Notice
Admonishment Notice
Reprimand Notice
Final Warning Notice
Suspension Notice
Termination Notice
*If Previously Disciplined 2 Times - What Type?*
If 2 Prior Disciplines - Select the 2nd Type
January
February
March
April
May
June
July
August
September
October
November
December
*Select Month*
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*Select Day*
2013
2014
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*Select Year*
Select the 2nd Date
**********
Written Letter of Concern
Written Counseling Notice
Written Warning Notice
Admonishment Notice
Reprimand Notice
Final Warning Notice
Suspension Notice
Termination Notice
*If Previously Disciplined 3 Times - What Type?*
If 3 Prior Disciplines - Select the 3rd Type
January
February
March
April
May
June
July
August
September
October
November
December
*Select Month*
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*Select Day*
2013
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*Select Year*
Select the 3rd Date
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January
February
March
April
May
June
July
August
September
October
November
December
*Select Month*
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*Select Day*
2013
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*Select Year*
If Suspended Enter Start Date
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*Select the Number of Days*
Select number of days suspended
January
February
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April
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December
*Select Month*
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*Select Day*
2013
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*Select Year*
If Suspended Enter End Date
********************
The remainder of the actual letter will be based on the choices/selections you have already made.
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