WP E-Signature by Approve Me - Sign Documents Using WordPress -

Written Warning for Failing to Submit Medical

Employee Name:

Manager's Name:

Reason for Warning:

On you obtained a new medical certificate and failed to provide this medical to Windstar Lines until . Per Windstar Lines policy and FMCSA regulations, you are required to provide the medical to Windstar Lines and to the DMV immediately after obtaining a new medical.

This warning letter to ensure you understand the requirement that you must submit the medical certificate to Windstar Lines AND the DMV immediately after obtaining a new medical. We must also ensure that your CDL/license is valid at all times you are operating vehicles for Windstar Lines. This is a very serious violation that could lead to a downgraded Safety Rating, potential loss of customers, and penalties being assessed against both the driver and the company.

If you have questions on this matter, please contact your Manager or the Safety Director. It is our goal to do everything within our power to help make you successful as a professional motor coach operator.

Leave this empty:

Your legal name

Your email address

Please Confirm full name and signature.

Draw Signature
Type In Signature

Draw your signature with your mouse, tablet or smartphone Clear

I agree that I am and I agree this is a legal representation of my signature for all purposes just the same as a pen-and-paper signature

I agree that I am and I understand this is a legal representation of my signature

Adopt & Sign

Signed by Windstar Lines
Signed On: September 26, 2024

Timestamp

Audit

February 1, 2024 4:27 pm CDT

Written Warning for Failing to Submit Medical Uploaded by Windstar Lines - postmaster@gowindstarsafety.com IP 209.50.8.111