Confidential Investigation Warning

Use this form to document that an employee has received and acknowledged a confidential investigation warning.

Control Log Number(Required)

Example format: IA-20__-___

Employee Name(Required)

Employee Rank / Title

Supervisor Administering Warning(Required)

The employee acknowledges that they may possess information related to an ongoing internal investigation. The employee understands that any response or statement must be truthful and that false, misleading, or materially incomplete information may result in corrective action. The employee also understands that the investigation and related documents must not be discussed or distributed except to authorized persons, including appropriate command staff, professional standards personnel, assigned investigators, or legal counsel.

Employee Acknowledges Confidential Investigation Warning(Required)

Yes

Employee Signature / Typed Name(Required)

Employee Signature Date(Required)

Employee Signature Time(Required)

Supervisor Certification

The supervisor certifies that the Confidential Investigation Warning was administered to the employee identified above.

Supervisor Signature / Typed Name(Required)

Supervisor Signature Date(Required)