Employee Written Warning - Template, Sample Form Online Pro · EN-CA-law
✓ Valid in Canada (English) · drafted to comply with local law
Create your Employee Written Warning - Template, Sample Form Online for use in Canada (English). Answer a few plain-English questions and the document fills in automatically as you go — then download it in Word and PDF, ready to sign or share. This version has been professionally rewritten to comply with local law.
- Answer 25 simple questions — the document fills in as you go
- Live preview: watch your document update in real time
- Download as Word (.docx) and PDF
- Edit your answers and re-download anytime
Fill in the details
0/25Type below — the document on the right updates as you go.
EMPLOYEE WRITTEN WARNING
CONFIDENTIAL — FOR THE EMPLOYEE'S PERSONNEL FILE
Employer: ________
________ (the "Employer")
Employee: ________ (the "Employee")
Employee Title / Position: ________
Department: ________
Employee Start Date: ________
Date of this Warning: ________
Governing Jurisdiction (Province/Territory): ________
§ 1. Purpose
§ 2. Nature of the Concern
This written warning concerns the Employee's conduct and/or failure to meet work obligations that occurred or was observed on ________. The concern is described as follows:
________
§ 3. Applicable Standard, Policy or Expectation
The conduct described above is contrary to the following workplace standard, policy, procedure or term of employment:
________
§ 4. Prior Discipline
This is not the first occurrence of this type of concern. The Employee previously received a verbal warning in connection with this matter on ________. Any further prior discipline relevant to this matter is described below:
________
§ 5. Required Corrective Action and Expectations
The Employee is expected to correct this matter immediately and to maintain sustained improvement. The specific expectations and standards the Employee must meet going forward are as follows:
________
The Employee's conduct and/or performance will be reviewed over a period of ________ commencing on the date of this warning.
§ 6. Meeting
An in-person meeting with ________ will take place on ________ at ________, at ________. During this meeting, the Employee will be given a full and fair opportunity to discuss the matter and to provide any relevant information, explanation or supporting documentation. The purpose of the meeting is to establish a clear plan for improvement, including the specific expectations and standards the Employee must meet going forward.
§ 7. Consequences of Non-Compliance
§ 8. Employee Rights and Support
The Employee may, where applicable, be accompanied by a representative or support person at the meeting referred to above, and may submit a written response to be placed on file. Nothing in this letter is intended to interfere with, and this letter shall be administered consistent with, the Employee's rights under the applicable employment standards legislation of ________, applicable human rights legislation, occupational health and safety legislation, any applicable collective agreement, and, where the Employee is federally regulated, the Canada Labour Code. The Employer will not take any reprisal against the Employee for exercising a right under any applicable statute.
§ 9. No Change to Terms of Employment
This written warning does not vary the Employee's terms and conditions of employment and does not constitute a constructive dismissal. It is issued solely for the purpose of bringing the above concern to the Employee's attention and supporting corrective action.
§ 10. Confidentiality and Record
This letter and the matters described in it are confidential. A copy of this written warning, together with any written response submitted by the Employee, will be placed in the Employee's official personnel file and retained in accordance with the Employer's records-retention practices and applicable privacy legislation.
§ 11. Acknowledgement
The Employee's signature below confirms only that the Employee has received this letter on the date indicated and does not constitute agreement with its contents. A lack of signature does not indicate non-receipt, waiver or disregard of this letter.
SIGNATURES
Executed on behalf of the Employer:
_______________________________
Signature
Name: ________
Title: ________
Date: ________
Acknowledged as received by the Employee:
_______________________________
Employee Signature
Name: ________
Date of Receipt: ________
If the Employee declines to sign, the Employer's representative may note the date of delivery below.
Witnessed / delivered by: ________ — Date: ________
Fields you complete are inserted into the document live. This template is general guidance only — not legal advice.