Employee Statement PDF Details

In the realm of workplace compliance and internal investigations, the Employee/Witness Statement Form plays a pivotal role in maintaining integrity and accountability. This document, specifically designed in accordance with the Department of Correction Disciplinary Policy and Procedures, outlines a clear protocol for employees who need to provide statements during an investigation. It emphasizes the importance of cooperation and truthful reporting, warning that failure to comply, hindering the investigation process, or providing false information can lead to severe disciplinary actions, potentially resulting in dismissal. Employees are required to handwrite their statements, ensuring the form contains their original signature, thus adding a personal accountability layer to the information provided. Furthermore, it asks for the inclusion of potential witnesses or individuals who may have relevant information, expanding the scope of the investigation. The form also serves as a reminder to the employees about the seriousness of the investigation process, making them aware that their statements are integral to the official investigation and they might be requested to elaborate on their statements either in written form or in person. This form, therefore, establishes a formal, structured approach to gathering crucial information, grounding the investigation in a framework that seeks accuracy and truth.

QuestionAnswer
Form NameEmployee Statement
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesemployee statement for new employee, staff statement format, employee statement, employee statement form pdf

Form Preview Example

EMPLOYEE/WITNESS STATEMENT FORM

In accordance with the Department of Correction Disciplinary Policy and Procedures, failure to cooperate with or hindering an internal investigation, including the refusal to answer questions, and providing false or purposefully misleading information during an internal investigation constitutes unacceptable personal conduct and may result in discipline up to and including dismissal.

DIRECTIONS: DO NOT TYPE. MUST BE HANDWRITTEN BY EMPLOYEE. PLEASE WRITE CLEARLY. FORM MUST CONTAIN AN ORIGINAL SIGNATURE OF EMPLOYEE SUPPLYING STATEMENT.

NAME:

POSITION NUMBER:

LOCATION:

CLASSIFICATION:

STATEMENT: (Use additional paper or back of form if necessary)

Please list any witnesses or individuals who may have information relative to this investigation.

I understand this statement will be considered part of the official investigation and that I may be called on to testify or provide written or verbal clarifying statements. The statement I have provided is an accurate account of the case to the best of my knowledge.

Signature

Date

08/20/04

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    their temporary disability benefits, they will have been able to print out an instruction sheet to aid you in filing your statement. You will need.

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