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Government memo · Aug. 20, 2019

DOJ Inspector General voluntary interview warnings form, August 2019

A DOJ Office of the Inspector General warnings-and-waiver form advising a SDNY employee of their rights before a voluntary interview in an in-custody death investigation.Machine-written summary

UNITED STATES DEPARTMENT OF JUSTICE Office of the Inspector General

WARNINGS AND ASSURANCES TO EMPLOYEE REQUESTED TO PROVIDE INFORMATION ON A VOLUNTARY BASIS

You are being asked to provide information as part of an investigation being conducted by the Office of the Inspector General. This investigation is being conducted pursuant to the Inspector General Act of 1978, as amended.

This investigation pertains to:

FPSKin In-custody d employel

This is a voluntary interview. Accordingly, you do not have to answer questions. No disciplinary action will be taken against you if you choose not to answer questions.

Any statement you furnish may be used as evidence in any future criminal proceedings or agency disciplinary proceeding, or both.

WAIVER

I understand the warnings and assurances stated above and I am willing to make a statement and answer questions. No promises or threats have been made to me and no pressure or coercion of any kind has been used against me.

Office of the Inspector General Special Agent

Time

Employee’s Signature

8/20/19 Date

USAD SONY Place

OIG Form III-226/2 (04 23 07) Non-Custodial Emplovee

SDNY 00018014