103021.mp4 May 2026

Allow the employee to submit a written rebuttal if they disagree.

Reference witness statements or security footage if applicable.

(Clearly state that further incidents may lead to additional disciplinary action, up to and including termination). Signatures: Employee Signature: ____________________ Date: __________ 103021.mp4

Based on the request for a write-up regarding a "103021.mp4" file, this likely refers to a formal (disciplinary action) used to document poor performance or misconduct. Employee Warning/Write-Up Template Employee Information: Employee Name: ____________________ Job Title: ____________________ Manager Name: ____________________ Date of Warning: ____________________ Incident Details: Date of Incident: ____________________ Location of Incident: ____________________ Type of Violation: Absenteeism/Tardiness Performance Issue Inappropriate Conduct Safety Violation Other: __________

To make this specific to your situation, please let me know: What needs to be documented? Is this a first warning or a final notice? Allow the employee to submit a written rebuttal

____________________ Date: __________ (Signatures indicate that the warning was discussed, not necessarily that the employee agrees with the content). Best Practices for This Write-Up

(Be objective, specific, and fact-based. Include who, what, when, and where. Mention if any company policies were violated). and fact-based. Include who

How to Write Up an Employee: 11 Common Situations - BambooHR