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Employee Warning
Supervisor
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Employee Name
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Territory
Date of Incident
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MM slash DD slash YYYY
Warning Progression
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Second
Final
Incident Type
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Tardy/Leaving Early
Absent
Substandard Performance
Safety Violation
Policy Violation
Inappropriate Exchange with Client
Inappropriate Exchange with Co-Worker
Inappropriate Exchange with Supervisor
Inappropriate Exchange with Public
Inappropriate/Unsafe Handling of Pet Client
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Details of infraction
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Action taken
Employee Signature (Upon presentation)
Date of Receipt (Upon presentation)
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