Haraz Coffee House – Employee Write-Up

Employee information

Employee name

Date of incident

Position / role

Date of write-up

Manager / supervisor

Shift

Morning Evening Closing

Prior verbal warnings

1st verbal warning date

2nd verbal warning date

Summary of prior warnings

Type of violation

Other (describe)

Description of incident

Describe in detail — include dates, times, witnesses, and specific behavior

Corrective action required

Steps the employee must take to correct this behavior

Consequence if behavior continues

Further disciplinary action Final write-up Immediate termination

Additional notes

Acknowledgment & signatures

Employee signature confirms receipt of this write-up. It does not necessarily indicate agreement.

Employee printed name

Manager name (type to sign)

Employee signature date

Manager signature date

Employee refused to sign