Employee Write Up

Author: Felicia Sprague, Co-founder Dental Hive

Download the printable version here.

“When there is no consequence for poor work ethic, and no reward for good work ethic, there is no motivation.” – JD Roberts

No one likes to write up team members, however, sometimes it’s necessary and can help them grow professionally when handled correctly. See our employee write up below that allows for you to detail the offense, come up with a plan for improvement and further consequence if another infraction is made.

Employee Write Up


Employee Information

Employee Name:





Type of Warning

First WarningSecond WarningFinal Warning

Type of Offenses

Tardiness/Leaving EarlyAbsenteeismViolation of Company Policies
Substandard WorkViolation of Safety Rules 

Rudeness to Customers/Co-workers





Description of Infraction:



Plan for Improvement:




Consequences of Further Infractions:




Acknowledgment of Receipt of Warning

By signing this form, you confirm that you understand the information in this warning. You also confirm that you and your manager have discussed the warning and a plan for improvement. Signing this form does not necessarily indicate that you agree with this warning.

Employee SignatureDate
Manager SignatureDate
Witness Signature (if employee understands warning but refuses to sign)Date


About the Author: Felicia Sprague
Felicia Sprague is a dental regional manager and co-founder of Dental Hive. Felicia is experienced team training, HR, dental systems development and implementation, and has a track record of increasing productivity in dental offices.


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