HomeMy WebLinkAbout52A - Form 9
Town of Lexington
Police Department
Chief Mark J. Corr
Notice of Employee Rights
1575 MASSACHUSETTS AVENUE • LEXINGTON, MASSACHUSETTS 02420
781-862-1212/fax 781-863-1291
IA Form - 9
Employee name: ___________________________________ ID#: _____________________
Today’s date: _______________ Time: _______________ Case#: ____________________
Interviewing officer: _________________________________________________________
Alleged misconduct: _________________________________________________________
1. The purpose of this interview is to elicit responses that will assist the Department in determining
whether the alleged misconduct occurred. This is an administrative investigation relating to the
official business of the Lexington Police Department.
2. You will be asked questions that relate directly, narrowly, and specifically to the performance of your
official duties as an employee of the Lexington Police Department.
3. Although I am conducting an administrative interview, if you reasonably believe that this
investigation may result in a criminal prosecution against you:
a. You may exercise your Miranda rights and may refuse to answer any specific question if you
believe your answer could be used against you in a criminal prosecution.
b. If you refuse to answer questions, your refusal will not subject you to any disciplinary action by
the Department. Disciplinary action may nevertheless be taken against you based on other
information received by the Department.
4. Any answers that you provide may be used against you in any subsequent proceeding and could
result in administrative action against you, including dismissal.
5. If you are a member of a collective bargaining unit, you may request union representation to be
present if you reasonably believe that disciplinary action may result from this interview.
6. If you do not understand any part of this notice, please ask immediately so that clarification of this
document can be provided to you.
Receipt of Notice
The undersigned hereby acknowledges that he/she has been given proper notice of the allegations and
privileges provided above.
Employee Signature: __________________________________ Date: _______________
Interviewer’s Signature: ________________________________ Date: _______________