Garrity Rule
On __________________
(day/date), at ____________ hours, at ________________________ (location), I
was ordered to submit this report by ____________________________ (name &
rank). I submitted this report at his/her order as a condition of employment.
In view of possible job forfeiture, I have no alternative but to abide by this
order.
It is my belief and
understanding that the department requires this report solely and exclusively
for internal purposes and will not release it to any other agency. It is my
further belief that this report will not and cannot be used against me in any
subsequent proceedings other than disciplinary proceedings within the confines
of the department itself. I authorize release of this report to my attorney or
designated union representative.
For any and all other
purposes, I hereby reserve my constitutional right to remain silent under the
FIFTH and FOURTEENTH AMENDMENTS to the UNITED STATES CONSTITUTION and any other rights prescribed by law. Further, I
rely specifically upon the protection afforded me under the doctrines set forth
in Garrity vs.