Fill and Sign the Warning Worksheet Form

Verbal Warning Worksheet Name of Employee:       Date:       Brief Overview of Issue:             Is this the first time verbal counseling has been conducted? Yes No If No, was the previous verbal counseling for the same issue? Yes No If Yes, is documentation of previous communication attached? Yes No Summary of Communication with Employee:             Employee is expected to do the following:             What other employees ( e.g., Supervisor) will do to support this:             Additional Training or Development:             Follow up communication with Employee: Date:       Comments:       By:       Completed:       (Signature of Supervisor)       (Printed Name of Supervisor) Verbal Warning Worksheet Page 1 of 1