Verbal Warning Form

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RIVER CAFE

Disciplinary Verbal Warning


NAME OF EMPLOYEE: ________________________________________________

EMPLOYEE NR OR I.D. NR: _____________________________________________

1. You are hereby issued with a Written Warning for the following misconduct committed on the
___________________ day of _______________________ 20 ____.
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
__________
2. You are informed that the employer has decided to issue you with a Verbal Warning due to the seriousness of
the offence.

3. Your behaviour is unacceptable to the employer and if you do not improve with immediate effect, or if you
commit another offence of similar nature within the next three months from this date, a Final written warning
will be issued.

4. Your conduct is considered to be counter-productive, detrimental to the employer’s business and damaging to
the employment relationships at the workplace. The employer views your behaviour as very serious and you are
urged to view it in the same serious light.

5. Details of previous warnings and/or counselling sessions as recorded and filed in your
Personal file:
_________________________________________________________________________ ____________________
________________________________________________________________________________
____________________________

6. This Verbal Warning lapses on ___________________________.

_________________________________ __________________
SIGNATURE OF EMPLOYER/SUPERVISOR DATE

I acknowledge that this Verbal Warning was handed to me, and the contents were explained to me by
________________________________ and that I understood it.

________________________ _______________________
SIGNATURE OF EMPLOYEE DATE

The contents of this document were interpreted by me to the employee from _________________ to
_______________________ and *he/she indicated that *he/she understood.

___________________________ _______________________
SIGNATURE OF INTERPRETER DATE

I was present and witnessed this Written Warning being issued to the employee.

___________________________ _______________________
SIGNATURE OF WITNESS DATE

* Delete where not applicable

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