EFTA00025226.pdf
53.6 KB
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Document Information
Type:
Administrative form (blank template)
File Size:
53.6 KB
Summary
This document is a blank template of 'OIG Form III-226/3', titled 'Warnings and Assurances to Employee Required to Provide Information' from the U.S. Department of Justice Office of the Inspector General. The form outlines the rights and obligations of an employee under investigation, specifically noting that their answers are compelled for administrative purposes but cannot be used against them in criminal proceedings (unless they provide false statements). The form is dated May 3, 2021 (revision date) and bears the Bates number EFTA00025226, but contains no specific case details or filled-in names.
Organizations (2)
| Name | Type | Context |
|---|---|---|
| UNITED STATES DEPARTMENT OF JUSTICE | ||
| Office of the Inspector General |
Key Quotes (2)
"You have a duty to reply to the questions posed to you during this interview and agency disciplinary action, including dismissal, may be undertaken if you refuse to answer or fail to reply fully and truthfully."Source
EFTA00025226.pdf
Quote #1
"Neither your answers nor any information or evidence gained by reason of your answers can be used against you in any criminal proceeding."Source
EFTA00025226.pdf
Quote #2
Full Extracted Text
Complete text extracted from the document (2,091 characters)
UNITED STATES DEPARTMENT OF JUSTICE
Office of the Inspector General
Office of the Inspector General
WARNINGS AND ASSURANCES TO EMPLOYEE REQUIRED
TO PROVIDE INFORMATION
TO PROVIDE INFORMATION
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.
of the Inspector General. This investigation is being conducted pursuant to the Inspector General
Act of 1978, as amended.
This investigation pertains to ______________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
You have a duty to reply to the questions posed to you during this interview and agency disciplinary
action, including dismissal, may be undertaken if you refuse to answer or fail to reply fully and
truthfully.
action, including dismissal, may be undertaken if you refuse to answer or fail to reply fully and
truthfully.
Neither your answers nor any information or evidence gained by reason of your answers can be
used against you in any criminal proceeding. However, if you knowingly and willfully provide false
statements or information in your answers, you may be criminally prosecuted for that action. The
answers you furnish and any information or evidence resulting from them may be used in the
course of agency disciplinary proceedings.
used against you in any criminal proceeding. However, if you knowingly and willfully provide false
statements or information in your answers, you may be criminally prosecuted for that action. The
answers you furnish and any information or evidence resulting from them may be used in the
course of agency disciplinary proceedings.
ACKNOWLEDGMENT
I have read and understand my rights and obligations as set forth above.
________________________________________ ________________________________________
Signature of the Office of the Inspector Employee’s Signature
General Special Agent
Signature of the Office of the Inspector Employee’s Signature
General Special Agent
________________________________________ ________________________________________
Name of the Office of the Inspector Employee’s Name
General Special Agent
Name of the Office of the Inspector Employee’s Name
General Special Agent
________________________________________ ________________________________________
Signature of Witness Date and Time
Signature of Witness Date and Time
________________________________________ ________________________________________
Name of Witness Place
Name of Witness Place
OIG Form III-226/3 (05/03/21), Warnings and Assurances to Employee Required to Provide Information
EFTA00025226
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