| GARRITY WARNING |
| Date and Time: ____________________ Place:____________________________ Interviewer:_______________________ |
| This questioning concerns administrative matters relating to the official business of the_________________________Police. I am not questioning you for the purpose of instituting a criminal prosecution against you, or for the purpose of securing additional evidence against you in any pending criminal action. During the course of this questioning, even if you disclose information which indicates you may be guilty of criminal conduct concerning this allegation, neither your self-incriminating statement or its fruits will be used against you in a criminal proceeding. Since this is an administrative matter within the _____________________________Police, you are required to answer questions truthfully and completly or you may be subjected to administrative action. Do you understand what I have just explained to you? ______Yes ________No Do you have any questions concerning what I have just explained to you? ______Yes _______No ______________________________________ Signature of Witness ______________________________________ Signature of Witness _____________________________ Signature of Employee |
|