EFTA00035767.pdf

Type: pdf
Source set: data-set-8
Extracted text

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: 6464 Tit-Cvs4ody 
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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 mc. 
Ice o t e nspe 
eneral 
Speci 
Agent 
Employee's Signature 
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Date 
lolgo 
cISIo SDtf( 
Time 
Place 
OIG Form 111-226/2 (04 23'07) Non-CustothaltEmplojee 
SDNY_0001 8007 
EFTA00035767
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