Write-up Paper Form Instructions

1. Employee Name: Put FIRST and LAST name

2. Checkmark the type(s) of violation(s)

3. Write the MONTH, DATE and YEAR of the incident (ex. 9/1/19)

4. Write the TIME of the incident. If an employee was late, write the time they were supposed to arrive.

5. Write a FULL EXPLANATION of the incident. If the employee was late, please write the time they were SUPPOSED TO ARRIVE and the TIME OF ARRIVAL.

6. Write the MONTH, DATE and YEAR that the person is signing (ex. 9/1/19)

7. Make sure BOTH signature lines are signed with FIRST and LAST NAMES.

8. DO NOT write on the back of the warning slip. It must all fit on one page.

9. ONLY SUBMIT ONE WARNING PER FORM

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