Write Up Form Employee Writeup FormEmployee Name Date MM slash DD slash YYYY Employee ID Job Title Manager Department First Writeup Second Writeup Final Writeup Type of Offense Tardiness/Leaving Early Substandard Work Absenteeism Violation of Company Policies Violation of Safety Rules Rudeness to Customers/Coworkers Other Other DetailsPlan for Improvement Consequences of Further Infractions If the above items and any other items that have been previously discussed are not remedied, employee will be terminated.Acknowledgement of Receipt of WarningBy signing this form, you confirm that you understand the information in this warning. You also confirm that you and your manager have discussed the warning and a plan for improvement. Signing this form does not necessarily indicate that you agree with this warning. Employee SignatureDate MM slash DD slash YYYY Manager SignatureDate MM slash DD slash YYYY Witness Signature (if employee understands warning but refuses to sign)Date MM slash DD slash YYYY
