FORMAL WRITTEN WARNING FORM

BICKIMER ELECTRIC Formal Written Warning Form

Name of Employee:   Date of Incident:  
Date of Discussion:   Time commenced:  
Location:   Time finished:  

Type of warning:

                ¨            First written warning

                ¨            Second written warning

                ¨            Third and final written warning – grounds for termination

Reasons for the written warning (attach or refer to any relevant notes / documentation):

 
 
 

Employee’s response was:

 
 
 

Manager’s comments:

 
 

Agreed action:

 
 

Follow-up date:

   ¨ Copy given to employee on __ / __ / _______.

Manager’s Name (Print)                                                                                Signature

Employee’s Name (Print)                                                                               Signature