[Company Name]
[Company Address]
[City, State, ZIP]
[Phone] | [Email]
Date: [Date]
To: [Employee Full Name]
Job Title/Department: [Title/Department]
Employee ID (Optional): [ID]
Work Location: [Location]
1. Reason for Written Warning
1.1 Issue Type: ☐ Performance ☐ Attendance ☐ Conduct ☐ Policy violation ☐ Safety ☐ Other: [Type]
1.2 Summary. This letter serves as a written warning regarding: [Short summary of the issue].
2. Incident Details (Facts)
2.1 Dates/Times. [List relevant dates and times.]
2.2 What Happened. [Factual description of the conduct/performance issue.]
2.3 Impact. [Operational, safety, customer, team impact.]
3. Prior Coaching or Warnings (If Any)
3.1 [Describe prior verbal coaching/warnings and dates.]
4. Policy and Expectations
4.1 Policy/Standard Referenced. [Handbook section / policy name.]
4.2 Expected Improvement. Effective immediately, you are expected to:
-
[Expectation #1]
-
[Expectation #2]
-
[Expectation #3]
[Expectation #1]
[Expectation #2]
[Expectation #3]
5. Corrective Action Plan
5.1 Required Actions and Deadlines.
[Action #1] by [Date]
[Action #2] by [Date]
5.2 Support Provided (Optional). ☐ Training ☐ Coaching ☐ Schedule changes ☐ Other: [Support].
5.3 Review Date. Your performance/behavior will be reviewed on: [Date].
6. Consequences
6.1 Failure to meet expectations or continued issues may result in further discipline, up to and including termination, consistent with company policy and applicable law.
7. Employee Response (Optional)
7.1 Employee comments: [Space for employee response]
Signatures
Supervisor/Manager: [Name]
Title: [Title]
Date: [Date]
Signature: ___________________________
Employee Acknowledgment:
I acknowledge receipt of this written warning. My signature does not necessarily indicate agreement.
Employee: [Employee Full Name]
Date: [Date]
Signature: ___________________________
If Employee Refuses to Sign (Optional):
Witness Name: [Name]
Date: [Date]
Signature: ___________________________