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Government memo · March 16, 2022

DOJ Inspector General warnings form for a voluntary interview at MDC Brooklyn, 2022

A blank DOJ Office of the Inspector General warnings-and-waiver form for a voluntary employee interview at MDC Brooklyn concerning job performance and security failures.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:

job performance failure and

security failure

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

General Special Agent

General Special Agent

Signature or witness

Name of Witness

3/16/2022

9:59 am

Date and Time

MDC Brooklyn, NY

Place

OIG Form III-226/2 (05/03/21) Non-Custodial/Employee

EFTA00125195