DISCIPLINARY ACTION CHECKLIST - IAFC
DISCIPLINARY ACTION CHECKLIST - IAFC
DISCIPLINARY ACTION CHECKLIST - IAFC
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SAMPLE GARRITY WARNING<br />
I. At this time, I am going to question you regarding:<br />
___________________________________________________________<br />
___________________________________________________________<br />
II.<br />
III.<br />
IV.<br />
This questioning concerns administrative matters relating to the XYZ Fire<br />
Department. During the course of this questioning, if you disclose<br />
information which indicates that you may be guilty of criminal conduct,<br />
neither your self-incriminating statements nor the fruits of any selfincriminating<br />
statements that you make will be used against you in a<br />
criminal legal proceeding, except your statements may be used related to<br />
perjury or impeachment.<br />
Because this is an administrative matter, you are required to answer my<br />
questions fully and truthfully. Your statements may be used against you<br />
regarding your ability to carry out your job functions and for disciplinary<br />
purposes.<br />
You are entitled to all rights and privileges guaranteed by the Arizona<br />
Constitution and the United States Constitution. You may have an attorney,<br />
union representative or another employee present with you during this<br />
interview.<br />
V. If you refuse to answer all of my questions, you will be subject to a<br />
separate disciplinary action for insubordination.<br />
VI.<br />
VII.<br />
Do you understand the foregoing?<br />
Employee initial: Yes ____ No ____<br />
Do you have any questions about your obligation to answer my questions?<br />
Employee initial: Yes ____ No ____<br />
I, ________________________________, by my signature below, affirm that I<br />
have been advised of the Garrity Warnings and had its meaning explained to me<br />
as set forth above.<br />
Employee: ___________________________________<br />
Date____________<br />
Officer signature: ______________________________<br />
Print name: ___________________________________<br />
Officer signature: ______________________________<br />
Print name: ___________________________________<br />
Date____________<br />
Date____________<br />
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