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Date(s) Violation Occurred: Location(s) where Violation Occurred: Type of Violation Incompetency Inefficiency Dishonesty Drunkenness Immoral Conduct Insubordination Discourteous Treatment of the Public Neglect of Duty Failure of Good Behavior Misfeasance Malfeasance Nonfeasance Other (explain beiow) Description of Violation: (attach additional sheet if necessary) This Verbal Warning is issued as a corrective measure in an effort to help you improve your conduct. This warning will be removed from your personnel files after twelve (12) months, providing you have no additional disciplinary actions during that time period. Any further violations could result in more severe disciplinary actions. Signature of person issuing reprimand Title I hereby acknowledge that a copy of the above Record of Verbal Warning has been given to me this day. Employee's Name: Employee's Classification: Greene County Record of Verbal Warning Date(s) Warning Was Issued: Employee's Signature Date