Employee Information
EMPLOYEE WARNING REPORT
Employee Name: Date: Employee
ID: Job Title: Supervisor:
Department: Type of Warning:
Type of Offense:
1st Offense (Verbal Warning) Grave Misconduct
2nd Offense (Written Warning) Excessive Tardiness
3rd Offense (Written Warning) Excessive Absences
4th Offense (Written Warning) Others: Please Specify
5th Offense (Written Warning) (Carelessness, Disobedience, Safety,
6th Offense (Written Warning) Attendance, Work quality,
Insubordination, Improper Uniform,
Description of Infraction: Harassment)
Plan of Improvement:
Consequences of Further Infraction (as per the number of warning given)
Acknowledgement of Receipt of Warning:
By signing this form, you confirm that you understand the information in this warning. You also confirm that you
and your supervisor have discussed the warning and a plan for improvement. Signing this form does not
necessarily indicate that you agree with this warning.
Employee Signature over Printed Name DATE
Supervisor/Manager Signature over Printed Name DATE
Witness Signature (if employee understands warning but refuses to sign) DATE
Employee Warning Report
cc: Employee’s Copy, Supervisor and Record Keeping Sprinkles Cake Shop and Restaurant by Mhay’s Kitchen ©2019