
 
 
 
 
 EMPLOYEE WARNING NOTICE 
 
This form is to be used as the Standard of Conduct Memo, the Letter of Reprimand, and the Final Warning 
 
 
Employee Name:  _________________________________  Date:   ___________________________________ 
Job Title:   _______________________________________
  
Supervisor:   _____________________________________  School:   _________________________________ 
 
 
  Step 1          Step 2        Step 3
 
  Standard of Conduct Memo    Letter of Reprimand    Final Warning 
            Date of Previous Memo:  Date of Previous Memo: 
 
            ___________________   ___________________ 
 
  Tardiness/Leaving Early     Absenteeism      Violation of MCCSC Policies 
  Sub-standard Work      Violation of Safety Rules  Other 
  Comments: __________________________________________________________________________ 
 
 
The purpose of this memo is to make you aware of this situation that has come to my attention: 
In the future, I expect you to: __________________________________________________________________ 
 
I am confident that you can make the necessary adjustments to meet the expectations of this position.  If you have any 
questions about my expectations, please see me immediately. 
 
If the unacceptable behavior noted above reoccurs, you could be subject to further disciplinary action up to and including 
termination. 
 
Within TWO WEEKS staff members NOT in agreement with this report may submit a rebuttal to be attached to the 
Employee Warning Notice.  A copy of all documentation will be placed in the personnel file. 
 
 
By signing this form, you confirm that you understand the information in this warning.  You also confirm that you and your 
manager have discussed the warning and a plan for improvement. 
 
Employee Signature_________________________________  Date_________________________________ 
 
Supervisor Signature_________________________________  Date_________________________________ 
 
Witness Signature _________________________________  Date_________________________________ 
(If employee understands warning but refuses to sign) 
 
cc:  Personnel File/Human Resources 
Acknowledgement of Receipt of Warning