Verbal Warning Form
Verbal Warning Form
This is a counseling or corrective interview to explain the basis of the need for corrective action.
This verbal warning will be documented by the supervisor.
Date: ______________________________
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the problem would lead to further disciplinary action, up to and including demotion or dismissal.
_________________________________________ ______________________
Director/Supervisor’s Signature Date
Guidelines for Using Progressive Disciplinary Procedures
Whenever appropriate, directors and supervisors will offer feedback to employees to correct
performance deficiencies or workplace behavior problems. If problems persist, a progressive
series of corrective steps will normally be pursued.
The following provisions are to be observed when taking corrective disciplinary actions:
1. Verbal Warning
A counseling or corrective interview will be held by the supervisor with the employee to
explain the basis of the need for corrective action. This verbal warning will be
documented by the supervisor.
The director of supervisor will conduct the disciplinary interview. A written record of the
interview will be given to the employee and a copy placed in the employee’s personnel
file. This interview record will contain a description of the employee’s conduct or job
performance, the change of conduct required of the employee, and the consequences if
the problem is not corrected within a specified period of time. Such warning will be
signed by both parties.
3. Suspension
If sufficient improvement does not occur within the noted time frame, or serious work
performance or behavior problems warrant immediate attention, disciplinary action in the
form of suspension without pay is a possibility. Suspension without pay is considered a
serious disciplinary action and should be taken only after consultation with the Human
Resources Director.
4. Dismissal