Employee Write-Up Forms (6)

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Employee Write-Up Forms (6)

An employee write-up form is used to document employee misbehavior in the workplace. Write-up forms can issue an initial warning, call for corrective measures, or serve as a record of disciplinary or administrative action taken by the employer.

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Last updated August 13th, 2025

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An employee write-up form is used to document employee misbehavior in the workplace. Write-up forms can issue an initial warning, call for corrective measures, or serve as a record of disciplinary or administrative action taken by the employer.

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By Type

Employee Complaint Form
Employee Counseling Form
Employee Disciplinary Action Form
Employee Incident Report
Employee Reprimand Form
Employee Termination Letter
Employee Warning Notice

Writing Up an Employee

Employers generally write up an employee as follows:

  1. Evaluate situation. The incident is examined objectively to determine whether a write-up is warranted or if a warning will suffice.
  2. Review policy. Supervisors will then refer to company policy to identify the specific rules violated and the corresponding procedure.
  3. Gather documentation. Any records or testimonies of the incident are collected.
  4. Prepare write-up. The document is drafted to specify what the employee did wrong, the corrective actions they must take, and any disciplinary measures that will follow.
  5. Acknowledgment. The employee signs the form to confirm they received it and understand its contents. The document is then filed in the company records for future reference.

Sample

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EMPLOYEE WRITE-UP FORM

EMPLOYEE INFORMATION

Employee Name: [EMPLOYEE NAME] Employee Department: [EMPLOYEE DEPARTMENT]
Employee Title: [EMPLOYEE TITLE]  Employee ID #: [EMPLOYEE ID #]
Supervisor Name: [SUPERVISOR NAME]  Date: [MM/DD/YYYY]
Previous Discipline Meeting Date: [MM/DD/YYYY]

REASONS FOR WRITE-UP

☐ Absenteeism
☐ Tardiness
☐ Policy Violation
☐ Procedure Violation
☐ Fighting
☐ Poor Performance
☐ Language
☐ Rudeness
☐ Overtime Refusal
☐ Other: [REASON]

Details of actions: [VIOLATION DETAILS]

CORRECTIVE ACTIONS

The following corrective action must be taken by the employee. Failure to do so will result in further disciplinary action, up to and including termination: [CORRECTIVE ACTIONS]

ACKNOWLEDGMENT

The employee’s signature below confirms that the contents of the document were discussed with them. It does not necessarily indicate an agreement that the infraction occurred.

Employee Signature:                                                               Date: ______________
Print Name:[EMPLOYEE NAME]

Supervisor Signature:                                                               Date: ______________
Print Name:[SUPERVISOR NAME]

Sources

  1. Alaska Stat. § 23.10.430(a)
  2. Cal. Lab. Code § 1198.5(a)
  3. Colo. Rev. Stat. § 8-2-129(1)
  4. Conn. Gen. Stat. § 31-128b
  5. 19 Del. Code § 732
  6. 820 ILCS 40/2
  7. Iowa Code § 91B.1
  8. 26 M.R.S. § 631
  9. M.G.L. c. 149, § 52C
  10. MCL § 423.503
  11. Minn. Stat. § 181.961(Subd. 1)
  12. NRS § 613.075
  13. N.H. Rev. Stat. § 275:56(I)
  14. ORS § 652.750(2)
  15. 43 P.S. § 1322
  16. R.I. Gen. Laws § 28-6.4-1(a)(1)
  17. RCW § 49.12.240
  18. Wis. Stat. § 103.13(2)