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Complete the Open Blocks to Prepare an Employee Written Warning Notice
Date:       January February March April May June July August September October November December *Select Month* 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 *Select Day* 2013 2014 2015 2016 2017 2018 2019 2020 *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*

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January February March April May June July August September October November December *Select Month* 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 *Select Day* 2013 2014 2015 2016 2017 2018 2019 2020 *Select Year* Date of the Offense


January February March April May June July August September October November December *Select Month* 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 *Select Day* 2013 2014 2015 2016 2017 2018 2019 2020 *Select Year* Date of the 2nd Offense
Example 2 Tardy Periods.

January February March April May June July August September October November December *Select Month* 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 *Select Day* 2013 2014 2015 2016 2017 2018 2019 2020 *Select Year* Date of the 3rd Offense
Example 3 Tardy Periods.

January February March April May June July August September October November December *Select Month* 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 *Select Day* 2013 2014 2015 2016 2017 2018 2019 2020 *Select Year* Date of the 4th Offense
Example 4 Tardy Periods.

January February March April May June July August September October November December *Select Month* 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 *Select Day* 2013 2014 2015 2016 2017 2018 2019 2020 *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 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 *Select Day* 2013 2014 2015 2016 2017 2018 2019 2020 *Select Year* Select the Date

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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 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* 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 *Select Day* 2013 2014 2015 2016 2017 2018 2019 2020 *Select Year* Select the 2nd Date

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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 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* 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 *Select Day* 2013 2014 2015 2016 2017 2018 2019 2020 *Select Year* Select the 3rd Date

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January February March April May June July August September October November December *Select Month* 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 *Select Day* 2013 2014 2015 2016 2017 2018 2019 2020 *Select Year* If Suspended Enter Start Date

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 *Select the Number of Days* Select number of days suspended

January February March April May June July August September October November December *Select Month* 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 *Select Day* 2013 2014 2015 2016 2017 2018 2019 2020 *Select Year* If Suspended Enter End Date

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The remainder of the actual letter will be based on the choices/selections you have already made.
Click Here to See Prepared Letter

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