EFTA00117347.pdf

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 Than 0\04\ et &ail UV_ Cina tee,thiL\ Ll 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 t n• n n • f any e. ature of the Office of the Inspector lEmployfe)s Signature General Special Agent Name fof the Office of the Inspector Ererp dyee's Name General Special Agent 3/I to/a aa (1. 5- 9 Signature of Witness Date and Time Al) C- Rcook iy rl IQ)/ Name of Witness Place OIG Form III.226/2 (05/03/21)NoarustodlafrEmployee EFTA00117347