Excel (.xlsx) · fill in or print · opens in Excel & Google Sheets · No signup required
Header: employee, position, manager, dates of incident and write-up, location
Type of action: documented verbal warning, written warning, final written warning, suspension/other
Boxed sections for the incident (facts), the policy not met, employee comments, improvement plan, and consequences
A previous-warnings table (date, type, issue, manager)
Acknowledgement text plus employee, manager, and witness signature lines
In the incident box, record what was observed, when, and who was present. "Arrived 9:40 for a 9:00 shift on Aug 12 and 14" — not "always late."
Name the handbook section or the posted rule that was not met so the standard is the policy, not a manager's mood.
Ask for their explanation and write it down (or let them write it). Their comments belong on the form even when you disagree.
What changes, by when, and how you will both know. Make the consequence explicit so the next step is never a surprise.
Employee signature acknowledges receipt, not agreement. Give the employee a copy and file the original; log it in the previous-warnings table next time.
Use this for documented verbal warnings through final written warnings — attendance, no-shows, policy violations, performance. It is a documentation template, not legal advice: disciplinary rules differ by state and country and by union agreement, so follow your handbook and check local employment rules before acting. Consistency matters more than wording — use the same form, the same steps, for everyone.
Already filled it in? Upload the file to EpicShifts and we’ll import it into a live schedule — your team sees their shifts on mobile, swaps and picks up open shifts, and gets reminders automatically.
The date and facts of the incident, the specific policy or expectation not met, the employee's side, a clear improvement plan with a deadline, the consequences of not meeting it, a record of any prior warnings, and signatures acknowledging the conversation took place. Every section of this form maps to one of those.
Signing acknowledges receiving and discussing the form, not agreeing with it — the form says so above the signature lines. If an employee declines, note "employee declined to sign" with the date and, ideally, a witness signature.
There is no universal number. Many employers follow a progressive path (documented verbal → written → final → termination) but reserve the right to skip steps for serious conduct. What matters is that your handbook describes the path and you apply it consistently — which a filled-in previous-warnings table helps you show.
Yes — attach or cite the published schedule and the clock-in record for the dates in question. If you use EpicShifts, the schedule history and time-clock entries give you those facts without reconstructing them from memory.
Dustin Hanke, Founder, EpicShifts — Dustin builds EpicShifts and writes about scheduling, labor cost, and shift-work operations for restaurants and other hourly teams.
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