Employee Disciplinary Write-Up Form
Company: ACM Creative Concepts Applies To: Graffiti Pasta · The Nook · HEYDAY Version: 1.0 Date: April 24, 2026 Prepared by: ALICE + Optimus / ACM Creative Concepts Status: DRAFT — Pending Anthony Review
Manager Instructions: Complete this form any time a formal verbal warning, written warning, or final warning is issued. Be specific and factual — no opinions, no generalizations. Both manager and employee sign. Original goes in the employee file. Notify Anthony the same day any write-up is issued.
EMPLOYEE INFORMATION
Employee Name: _______________________
Location: [ ] Graffiti Pasta — Denton [ ] The Nook — Celina [ ] HEYDAY — Celina
Position/Role: _______________________
Date of Hire: _______________________ Date of This Write-Up: _______________________
Manager Issuing Write-Up: _______________________
TYPE OF ACTION
[ ] Verbal Warning (documented for the record) [ ] Written Warning — First [ ] Written Warning — Final [ ] Suspension — Number of days: _______ [ ] Termination (requires Anthony approval before issuing — do NOT check this without Anthony's explicit go-ahead)
REASON FOR WRITE-UP
Check all that apply:
Attendance & Punctuality [ ] No-call / No-show [ ] Excessive tardiness [ ] Leaving early without manager approval [ ] Excessive absenteeism
Performance [ ] Failure to meet service standards [ ] Failure to follow opening/closing procedures [ ] Poor guest interaction [ ] Failure to complete assigned duties [ ] Failure to follow manager instructions
Conduct [ ] Insubordination [ ] Unprofessional behavior toward guests [ ] Unprofessional behavior toward coworkers [ ] Inappropriate use of phone during shift [ ] Violation of uniform/appearance policy [ ] Violation of social media policy
Integrity [ ] Cash handling violation [ ] Suspected or confirmed theft [ ] Dishonesty
Safety & Compliance [ ] Food safety violation [ ] TABC violation [ ] Substance use on the job
Other: _______________________
DESCRIPTION OF INCIDENT
Be specific. Include: date and time of incident, what happened, who was involved, any witnesses. Facts only — no opinions.
Date / Time of Incident: _______________________
Description:
Witnesses (if any): _______________________
PRIOR INCIDENTS
Has this employee been warned about this behavior before?
[ ] No — this is the first incident [ ] Yes — describe prior warnings:
Date of prior warning: _______________________ Type: [ ] Verbal [ ] Written Issue: _______________________
EXPECTED IMPROVEMENT
What specific behavior must change, and by when?
Improvement deadline (if applicable): _______________________
CONSEQUENCES IF BEHAVIOR CONTINUES
[ ] Next offense will result in a final written warning [ ] Next offense will result in termination [ ] Employee is on a performance improvement plan (PIP) — attach PIP document [ ] Other: _______________________
SIGNATURES
By signing below, the employee acknowledges receipt of this write-up. Signing does not mean the employee agrees with the contents — only that they have received and read this document.
Employee Signature: _______________________ Date: _______________________
Employee Comments (optional):
Manager Signature: _______________________ Date: _______________________
Anthony Notified: [ ] Yes — Date/Time: _______________________
FILING INSTRUCTIONS
[ ] Original: Employee file [ ] Copy: Given to employee [ ] Copy: Sent to Anthony (email or text same day) [ ] Logged in MDR under "Team Callouts"
ACMCC Employee Write-Up Form | v1.0 | April 24, 2026 ACM Creative Concepts | Prepared by ALICE + Optimus