Employee Written Warning - Template, Sample Form Online

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

The Employer values the contributions of its employees and is committed to maintaining a productive, respectful and safe workplace. The Employer wishes to retain the Employee; however, the conduct or performance described in this letter must be corrected in order to maintain a healthy and effective working relationship. This letter constitutes a formal written warning issued in accordance with the Employer's progressive discipline practices.

§ 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

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§ 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

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§ 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: ________