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