<p> Company Name</p><p>Employee Warning / Disciplinary Form</p><p>Date:</p><p>Name of Employee______</p><p>Department:______</p><p>Type of Warning</p><p>___First warning ___Second Warning</p><p>___Third Warning ___Probationary Warning</p><p>___Termination ___Voluntary Quit</p><p>Employer Comments:</p><p>State here the reason for the warning and be as explicit as possible (use additional pages if necessary). Make sure you include exactly what is to be done as a result of this warning including probationary length, termination or if the employee voluntarily quits.</p><p>Employee Comments:</p><p>Give the employee ample time to write any comments and also offer them additional pages if they ask.</p><p>I, ______, hereby state that I have received a copy of this written warning / discipline form on this ___ day of ______, 2010. Employee Signature Date</p><p>Supervisor Signature Date</p><p>Witness Signature (Optional) Date</p>