Report
for Cities
Job Title
Name
Instructions: Complete this form when it is necessary to warn an employee that their performance is unacceptable.
Review the report with the employee. Give a copy of the report to the employee and retain the original in the
employee's file for future reference.
Employee Warning Notice
Department
Emp. No.
Date
Signature
Date
■ Punctuality
■ Attendance
■ Attitude
■ Job Knowledge
■ Job Skills
■ Leadership
■ Production
■ Accuracy
■ Obedience
■ Safety
■ Cooperation
■ Conduct
■ Completeness
■ ____________
■ ____________
You are hereby notified that your performance in the following area(s) is unsatisfactory at this time. We
want you to remain employed at this firm, but failure to correct deficiencies may result in termination of
employment.
■ You are on probation for ______ days.
■ You are not on probation at this time.
I acknowledge receipt of a copy of this warning and I ■
agree ■ disagree with it and state:
Title
Company Name
Completed by
Employee Signature
Follow-up action needed
Explanation and further details
Form 1008, Printed by: