Original- Employee's Personnel File RPD077 1/30/9.8 Employee's Signature Yell ow ~ City Safety Coordinator Date Pink - Originator FOR OFFICE USE ONLY: Dale: Dept{--_:__ Initials:----- Sent to TP:;:;-A-;--: --- --------------------------- o7 I 13/12 12:27:13 PRINT REQUESTED BY . Unit Rost'er for Requested
12 : 2 7 { Unit Type Group -Date -Time: Id Name Veh Id 1R11' p R1 07/13/12 05:1B #R1006S CHANG, EDWARD 464 P/737651 R/ *,"'1R12 p 07/13/12 05:26 #R10219 BRUNNER, JASON 471 P/737792 R/ >'1R14 I p 07/13/12 04:33 #R10272 SCOTT, DESIREE 478 P/737614 R/ >1R15' p 07/13/12 04:29 #R10070 DEUZ, SAM - VCDU 460 P/737779 R/ *>1R22' p ..:2;7{:1,3Ll-4: . Q_$;: 41 #inoos8 DESMET, CHRIS - VCDU A454 P/737683 R/ >1R23' p 07/13/12 05:35 #RP8032 GOULD, JIM 474 P/737869 R/ 1R25' p 07/13/12 05:33 #RP0253 PHIPPS, SCOTT 466 P/737665 R/ *>5R2 v 07/13/12 10:56 #RP9494 FIGARO, DAN P/ R/ *>5Rl4 v 07/13/12 10:56 #RP2613 MORRIS, STEVEN P/737794 R/ *>5R67 v 07/13/12 10:56 #RP8660 PAGET, CHRISTINE P/737795 R/ *>5R102 v 07/13/12 10:56 #R10337 TEMPLETON, JEFFREY P/737802 R/ 6R1' s 07/13/12 04:06 #RP1269 .RENGGLI,. JASON 479 P/737656 R/ *>6R2' s 07/13/12 05:19 #RP2462 JARRATT, TRACIE - VCDU 162 P/73'7670 R/ >7R17' F 07/13/12 06:48 #RP3413 HYETT, RALPH 118 P/737821 R/ >7R20 F 07/13/12 05:55 #RP1953 JACOBS, COREY 206. Bll2 P/737823 .R/ R112 F 07/13/12 07:43 #R10437 BARRETT, JEANNA (DRE) 442 P/737679 R/ *>7R201' D 07/13/12 07:48 #RP4317 WILKINSON, TOM P/737844 , R/ *>8R5' z 07/13/12 08:53 #RP5955 REYNOLDS, JEFF 206 406 P/737634 R/ *>10R6' v 07/13/12 06:59 #RP9011 KARLEWICZ, CHAD (SWAT) A456 P/737807 R/ Date: To: From: Re: Location: 1200-1400 Deering 1430-1630 Karlewicz ~ ~ :feH!jlletBH HfmsM McClincy Kerkhoff .s-wam 1730-1930 ~ liai=4ffi Keye& Ri8 I Instructors I Dreher Reed Blackard Tolliver RPD523 7/23/12 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ~ - - ~ ~ - - - - - Renton Police Department MEMORANDUM Updated July 23,2012 (1115) ALL COMMISSIONED PERSONNEL, OTHERS AS ASSIGNED R. Dreher/C.O. Johnson, Administrative Services Division 2012 IN-SERVICE TRAINING: Defensive Tactics; Weapon Retention 2nd Flooor Training Room, 200 Mill Ave S. 1200-1400 Duez Scott Wilcox C. Johnson Milosevich Karlewicz 1430-1630 Ritchie Brunner Chang Phipps DeSmet Radke 1730-1930 Hudson Hamel Hunter Soni Tibeau I. InstructJrs I Matsukawa Reed Ashbaugh Hassinger COACHES DAY- June 26, 0900-1700 Did not attend Rescheduled 1200-1400 Mitchell Reyes Menill K. Johnson 1430-1630 Miller Leibman Ryan Meyers Kerkhoff 1730-1930 Mercado Magnotti Green wade Thompson Trader I illstru.cto rs I Reed Dreher Blackard 1200-1400 Judd Berntson Montemayor Onishi Paget Hyett 1430-1630 Coleman Reynolds Walker Jordan So lema Gordon Luther 1730-1930 Lane Awai Sagiao Sjolin I Instructors I Morgan Ashbaugh Tolliver Blackard 1200-1400 Wilkinson VanValey Schuldt Rutledge McClincy Tierney Stratford Elliott 1430-1630 Gould Yohann Heerspink Cunningham Adam Figaro Monis G. Barfield 1730-1930 Body Steed D. Johnson Nielsen Kordel I Instructors J Dreher Matsukawa Reed Hassinger Excused 1200-1400 Edwards Summers Eldridge Cline Citron 1430-1630 Frazier Renggli Jarratt Gray Knott S. Barfield 1730-1930 Grisim Whitney Rossner Venera Smith l Instructors l Morgan Dreher Matsukawa Reed RENTON POLICE DEPARTMENT ( TRAINING ATTENDANCE ROSTER Subject: bT- Weapon Retention Session Date: July 13, 2012 Instructor: DT Team Supervisor: Dreher 8. 9. 5. 10. z.5DY\ \ 3. - (!pv!t(_ 8. 4. l'locM 9. 5. ~ \ v S-" 10. Sun Mon Tue Fri Sat .. _, .. Jul 7 91 14 I i ' I 161 17 19 21 ! 22i I I 29 Sun Mon Tue Wed . Sat -... Jul 1 zjl 7 I I ! fL. , If VfP.S 6N pr1o) P"'' f ~ ./' . , ' 6 ~ ~ ' ~ gl 10 14 J ! ~ .:f, . j 15 21 22 23 28 (!_ (J -08 pyLvBal Employee Leave Balance Report Page: 93 07/05/2012 10:1B:31AM City of Renton Org renton , . 06/16/2012 to 06/30/20122 Cycles ;:_:......... : .. ,,--- -- .. Home Dept: 08/002 Emp# Name Leave Code Current Bal Accrued Taken Bank Lost Ending Bal - DEERING, CLAY vpcnc 0.00 0.00 0.00 0.00 0.00 0.00 spc2 195.85 5.00 0.00 0.00 0.00 200.85 pcnch 0.00 0.00 0.00 0.00 0.00 0.00 camp 3.04 0.00 0.00 0.00 0.00 3.04 pi com 504.00 12.00 10.00 0.00 0.00 506.00 fpol 0.00 0.00 0.00 0.00 0.00 0.00 702.89 17.00 10.00 0.00 0.00 709.89
DESMET, .CHRISTOPHER J spc2 8.00 5.00 12.00 0.00 0.00 1.00 camp 0.02 0.00 0.00 0.00 0.00 0.02 pi com 62.00 10.00 0.00 0.00 0.00 72.00 70.02 15.00 12.00 0.00 0.00 73.02 - DEUZ, SAMUEL JR spc2 94.50 5.00 0.00 0.00 0.00 99.50 camp 0.13 0.00 0.00 0.00 0.00 0.13 pi com 54.25 10.00 0.00 0.00 0.00 64.25 fpol 0.00 0.00 0.00 0.00 0.00 0.00 -- 148.88 15.00 0.00 0.00 0.00 163.88 - DIPOLA, DANA vpcnc 0,00 0.00 0.00 0.00 0.00 0.00 spnc1 8.75 4.00 1.00 0.00 0.00 11.75 pcnch 0.00 0.00 0.00 0.00 0.00 0.00 camp 0.15 0.00 0.00 0.00 0.00 0.15 pine 122.00 13.00 13.50 -1.00 0.00 120.50 fpol 0.00 0.00 0.00 0.00 0.00 0.00 -- 130.90 17.00 14.50 -1.00 0.00 132.40 Page: 93 ( 1ASdlith J Sgt Eddy 13 .. Bagsby 111. R14 Blackarct 107 OIC/FTO R17 Judd 52 R12 MillerB5 R15 Mitchell100 R11 . PatrolOperations 2012 C!.-O-J:;)..-og Commander Katlewicz South Sector 1B south Sgt Wilkinson 5 . Brunner84 R12 Chang 82 R11 Duez so R15 Matsukawa 78 R13 Renggli 48 O!CJFTO R16 I Scott 90 R14 J ...................... 3ASouth J Sgt Keyes Kerkhoff.87 FTO R16 Myers 104 R14 Rice 101 R11 Smith45 R12 Thompson 1osj R15 j Sagiao 96 R13 I Trader 50 O!CIK9 R17 Humphreys 64 Light Duty 1A South l 38 south. J Sgt Radke 7 Hossner 8.9 R11 Hunter43 OIC R16 Johnson 921 R12 Nielsen 115 Rt5 I Soni116 R14. Special Status 07/22/12 ; Commander North Sector 1A North J ( 1BNorth ] 3ANorth. ] t 38 North J SgtMarrlli 4 Sgtsumlllers 3 SgtAwal14 J SgtFrCiz:ier 2 Ashbaugh 70 Gould 30 Greenwade 113 Body 14 OJ.C/FTO R26 R24 R25 R26 OOMOOOO Jarratt.40 Harctin 41 Grisiin 108 I 98 OlC/FTO O!C/FTO R22 I R23 R27 R26 Hamel88 ! Coleman 67 Phipps 11 J [ Lane 76 J R23 R21 R25 R27 Hudson 49 Ylinen 77 Tierney 74 Magnotti 112 OIC/FTO R22 R23 R25 R26 Swain61 Yohann46 Mercado 114 Steed 59 R2!) R24 R23 K9 R27 Stevens 93 R22 Whitney ' R21 Tolliver1P6 R21 -------------------------------- State Fund Claims: Depl of Labor and Industries - Claims. Section PO Box 44291, Olympia WA 98504-4291 ACTNITY PRESCRIPTION FORM (APF) COHE & Ortho!Neuro POLICE DEPARTMENT ME M 0 RAN D.U M DATE: . July 18, 2012 TO: Kevin Milosevich, Chief of Police Commander FROM: Clark Wilcox, Patrol Services Division SUBJECT: Officer injury claim During Tuesday July 17, 2012 command staff meeting we were. discussing officers whom were injured or on light duty. One of names mentioned by Commander was Officer who stated he injured his thumb during defensive tactics training. According to the DT sign up sheet Officer attended training on July 13, 2012 at 1430 hours. On Wednesday July 18, 2012 during the Patrol Services Division monthly meeting, I mentioned that we have five to seven officers on light duty and if we had a project for them to do let me know. It was asked who was all on light duty. I mentioned Rob Ylinen as one of them who hurt his thumb in DT recently and was corrected by an officer in the division (unknown which officer) who said you mean- Later there was a voice mail message fromSgt liShe said that during lunch with Officer today, Officer said that . . had hurt his thumb prior to DT and said he was going to claim it as an injury from DT. I called Officer-nd asked her to tell me what she knew aboLJt Officer injury:-Officer said she was at a collision with Officer Hyett on July 13, 2012 approximately 1300 hours when she saw Officer She mentioned his hands as she saw a bruise and swollen thumb. D_uring this conversation Officer said, I have DT today and am going to say I got hurt in DT. said in her phone message, this is inappropriate and misconduct on I part. POLICE DEPARTMENT M E M 0 R A N D U M DATE: Jufy 23, 2012 TO: Commander P. Cline FROM: Commander "'-"" .. ---- .. -- .. - . -- SUBJECT: [,>efensive Tactics Injury Report Commander Cline, The purpose of this memorandum is to infnrm you of my involvement and understanding of an incident involving a Police Department member claiming they were injured while attending Department training. This Department member allegedly made . the statement they were going to claim the injury happened at training that had not yet taken place. On July 14th at 0949 Officer- sent me an e-mail (attached) stating Officer C. had injured his thumb the day before (Friday July 13th) at defensive tactics (DT) training. She stated he had come to work that morning and was unable to draw his weapon so he left to "seek medical treatment". She then advised she had filled out the required paperwork and left it on Melissa Day's desk. That same day at 1635 Officer sent another e-mail (attached) stating Officer had texted her stating his thumb had been strained and was advised to see a doctor later in the week. On Tuesday July 17th at approximately 1500 I called and left a message for Officer asking about his status and probable return to work date on his cell phone. On Wednesday, July 18th at 1006 I sent an e-mail (attached) to Officer asking if she could get a hold of Officer and find out a possible prognosis and how he was doing. At approximately 1330 that same day, Commander Wilcox invited me into his office to listen to a phone message. The message was from Sergeant Sergeant I stated she had lunch with Officer J. and had told her Officer was injured while attending DT last week. Officer then told her t-Pta:t she spoke with Officer just before the DT training and that Officer told her that he was going to claim an injury to his thumb happened at the training. Sergeant stated she thought Officer actions were untruthful and unprofessional. At 1753 Office had responded to my earlier e-mail request (attached} stating Officer was still out injured and was not going to be able to see his doctor until July 23rd_ At 1823 I received a voice mail on my desk phone from Officer He apologized for the late call as one of his children had turned down his phone. He did not comment on the injury but stated I could reach him on his cell or home phone. ' _On ati23DJretLirned Officer phone call. I asked him what had to his hand. He said itjf a training accident" and described doing weapon in-DTarid l:iavinghisthumb trapped in Officer. --had spun and tWisted his th-umbcausing injury to his thumb and wrist. Officer then stated he had surgery on his wrist before this asked-when his was and he replied 11 2000"._1 asked him if the injury hurt his wristin additiori . 1:o his hiswrist b't:it his thu!Tlb \/Vasa new injury. him ifhi;thumb was b-efore training ancl he said At 1235 I reported my conversation to Chief Milosevich and Commander Cline. At this time I have not heard any updates regarding the incident. V /r submitted, Date _ From: -Sent: To: Subject: -- Saturday, July 14, 2012 16:35 .... RE: cringe and swear now ... Hello- text me and said his thumb is strained and was advised to follow up with his regular doctor this week. will advise when I have further - From: Sent: Saturday, July 14, 2012 10:38 To:-- Subject: Re: cringe and swear now ... Dam. Thanks for the heads up- Nice work. From:-- To:.iiiiii Cc: Melissa Day Sent: Sat Jul 14 09:49:01 2012 Subject: cringe and swear now ... Hi. Just wanted to let you know hurt his thumb in DT yesterday afternoon. At the time of the incident a DT instructor taped it up. Since training was at the very end of the shift just road it out the extra 20 minutes. He arrived this morning and was unable to draw his gun due to the injury and left to seek medical treatment. Melissa, the CCMSI form & the Incident Report is completed and on your desk . I left the Supervisor's Report of Employee injury on your desk for review. Please let me know if either of you need anything further. ---- POLICE OFFICER PATROL OPERATIONS DIVISION RENTON POLICE DEPARTMENT 1055 S. GRADY WAY RENTON, WA 98057 425-430-7500 @RENTONWA.GOV J - (JJJ- ,, 1 ...... From: "Sent: 'To: -- Wednesday, July 18, 2012 17:53 Subject: - Re: Injured Hey there, sorry for the delay I've been in training all day_ I left messages with Melissa on Monday inquiring what his next step should be. I had not heard back from her. The latest I knew from he was not able to get into his own doctor until the 23rd. I then spoke to him and asked what the initial doctor had told him. The walk in doctor told him he could give him a light.,duty letter right now or follow up with his own doctor in three days_- opted for the three day follow-up, but then discovered on Monday he wasn't able to get an appointment. I told him to go back to the first doctor to get the light duty paperwork, but I have not heard back from him_ I will try and reach him right now to see what 1 can find out. Sent from my iPhone On Jul18, 2012, at 10:06 AM, wrote: Was wondering if you could do me a favor? I left a message for esterday checking on his status_ Is there any chance you can find out how he is doing and what if any, prognosis on his thumb? Trying to project staffing levels and make sure HR is up to date on his paperwork. If your busy or out of town, no worries. I will keep trying. Thanks! Commander- City of Renton- Police Department Phone: (425) 430-- <imageOOLjpg> 1 \10\002& Li0\0 tiLt VV! MAf:L TO SELF iNSURED COMPANY ... 1. if the worker brings this form to your office, this box may be pre-printed. !f you initiate the fo:-n1 in your office, obtain information from the worker. 2. Have the vvorker col.npiete this or obtain information from the worker. ATTENDING HEALTH CARE PROVIDER !rJFORMAT!ON NOTICE: FAILURE TO FILE THIS REPORT W!TH!f\! 5 DAYS FROM THE DATE OF tREATMENT fv!AY RESULT !N A PENALTY OF $100 iN ACCORDANCE WITH RCW 51.48.060. 3. 5. Date you first treated patient for this injury/condition. a) insert iCOM-9 coding which corresponds to narrative diagnosis in Box 3b. b) Please list ail diagnoses of conditions present vvhich are result of incident or exposure. Atso specify which side of body (righl!left). Indicate "Yes" or "No". If "Yes", iist objective findings whiCh support Do not restate diaghosis. Indicate "Yes" or "No". lf "'ies", specify study and complete findtngs if knovvn. 6. Indicate lreatmenl recommendations. 7. Specify name, address and phone number of health care provider to whom referred. 8. hrdicate "Yes" or "No" and provide the additional information requested. 9. fnd!cate 'lYes" or "f\Jo" and prov1de additfonal informat!on requested, 10. Signature of llealtr1 care provider providing treatment and completing form. 11. Heafth care provider's phone number. 12. Date health care provider signs report. 13. Print or type your name as it appears on your Department of Labor and Industries payee account 14. Indicate your full mailing address. 15 .. Indicate your Department of Labor and Industries issued payee account number or NPI if you have one; if not, leave blank. 16. Provide your Internal Revenue Service reporting account. number. PATIENT !NFORMATiOi\1 1. blank. 2. Name of irJurer,i ;.vorker. 3. phone number. 4. \/\forker's mailing address or street address. J. 6. 7. 0 u. V\lorker's social S!"curity number. City, state and ZIP code of worker's address. Date worker was born. Date accident occurred. 9. Time accident occurred. 10. Dates the worker missed work due to this injurj. 11. Indicate -" rv1 = Male F = F emaie 12A MaritaliRegistered Domestic Partnership Status, e.g., M S = Single, D = Divorced, DP = Registered Domestic Partnership. 128. Dependents- f\Jumber of dependents under age 18 (does not include spouse/domestic partner). 13. Brief description of accident or exposure by 14. Medical Release Authorization. Worker's signature authorizes the release of relevant medical information. 15. Statement of Responsibility- I have filed or w!H fiie a Self Insurance Report of Accident (S!F-Z) with my employer. If my daim is denied, I understand that! will be responsrbfe for the care provided to me. 16. LEGAL NOTICE-- RCW 51.48.050 (2) PROV!DES; Al'N PERSON CLAIMING BENEFITS UNDER THIS T!TLE WHO KNOWINGLY GIVES FALSE tt.JFORMATION REQUIRED IN Af1JY CLAIM OR APPUCATHON UNDER THIS TITLE SHALL BE GUILTY OF A CLASS C FELONY WHEN SUCH CUJ,.!M OR APPL!CATIOf\1 !NVOLVES AN AMOUNT OF FiVE HUNDRED DOLLARS ($500) OR MORt:. WHEN SUCH CLAIM OR APPLICATION ft>JVOLVES AN AMOUNT LESS THAN FiVE HUNDRED DOLLARS ($500), THE PERSON GIViNG SUCH INFORMATION SHALL BE GUILTY OF A GROSS MISDEMEANOR. M.AJL TO SELF COMPANY .... ._1. if the \fiOrker brings this form to your office, this,box may be pre-printed. !f ycu initiate the form in your office, bbtain . information f1'om th-e worker. ' 2. Have the worker complete this box 01 obtain.informalion !'rorn the worker. ATTENDING HEALTH CARE PROVIDER INFORMATiON NOTICE: LURE TO FILE THIS REPORT WITHIN 5 DAYS FROrv1 THE DATE OF TREATMENT MAY RESULT !N A PENALTY OF $100 ll'J ACCORDANCE WeiTH RCW 51.48.060. 3. Date you first treated patient for this injury/condition. a) insert ICDM-9 coding which corresponds to narrative diagnosis in Box 3b. b) Please list ail diagnoses of conditions present which are result of incident or exposure. Also specify vvhich side of body (righlfieft). -<1 Indicate "Yes" or "f\io". If 'Yes", list objective findrngs which support diagr10sis. Do not restate diaghosis. j. indicate "Yes" or "No". lf "Yes", specify study and complete findings if knovvn. 6. Indicate treatment recommendations. 7. Specify name, address and phone nurnbsr of health care provider to whom referred. 8. \tYesf! or and provide the additional inforn1ation 1equested. 9. Indicate "Yes" or "No" ai1d provide the additional information requested. 10. Signature of health care provider jxo0ld}8g treatment and completing form. \ .. 11. Health care provider's phone number. -12. Date health care provider signs report. 13. Print or type your name as it appears on your Department of Labor and Industries payee account. 14. indicate your full mailing address. 15. Indicate your Department of Labor and Industries issued payee account number or NPI rf you have one; if not. !eave blank. 16. Provide your Internal Revenue Service reporting account number. PATiENT !NFORNL4T!Oi\! 1. Leave IJ!ank. 2. fJarne of irDureci . 3. Worker's phone number. 4. Worker's mailing address or street address. 5. V\!orker's number. 6. City, state and ZIP cod.e of worker's address. 7. Date worker was born. 8. Date accident occurred. 9. Time accident occurred. 10. Dates the missed work due to-Lhis injury. :;.;. 11. Indicate c- Jv1 = F.= Female 12f-.. fv1arita!!Registered Domestic Partnership Status, e.g., M =Married, S =Single, D = Divorced, DP = Registered Domestic Partnership. 128. Dependents- Number of dependents under age 18 (does not include spouse/domestic partner). 13. Brief description of accident or exposure by worker. 14. ft..f!edical Release Vllorkerls. signatt!re authorizes the release of relevant medical information. ' , . ,,_ 15. Statement of Responsibility - l have f!led or will file a Seff !nsurar.ce Report of Accident (SlF-Z) with my emp!oyer. !f my da!m is denied, f understand that I wm be responsible far the care provided to tne. i5. LEGAL NOTICE-- RCW 51.48.050 (2) PROVIDES: !\NY PERSON CLAIMING B-ENEFiTS tJf\lDER THIS TITLE WHO KNOWINGLY G!VES FALSE INFORMAT!Of\1 REQti!RED tN ANY CLAIM OR P.PPUCATHON LINDER THIS TITLE SHALL BE GUILTY OF A CLASS C FELONY WHEN SUCH CL!l..!M OR APPUCAT!Ofi.J !NVOLVES AN AMOUNT OF FiVE HUNDRED DOLLARS ($5GG) OR iV!ORE. WHEN SUCH CLAIM OR APPLICATiON INVOLVES AN AMOUNT LESS THAN F!VE HUNDRED DOLLARS ($500), THE PERSON G!ViNG .SUCH INFORMATION SHALL BE GUILTY OF A GROSS MISDEMEANOR. RCW 51.08.100: "Injury." RCW51.08.100 "Injury." Page 1 of 1 "Injury" means a sudden and tangible happening, of a traumatic nature, producing an immediate or prompt result, and occurring from without, and such physical conditions as result therefrom. [1961 c 23 51.08.100. Prior: 1959 c 308 3; 1957 c 70 12; prior: 1939 c 41 2, part; 1929 c 132 1, part; 1927 c 310 2, part; 1921 c 182 2, part; 1919 c 131 2, part; 1917 c 120 1, part; 1911 c74 3, part; RRS 7675, part.] http://apps.leg.wa.gov/rcw/default.aspx?cite=51.08.100 9/6/2012 Legal Notice Any person who knowingly gives false information in a claim or application for industria11nsurance benefits sha11 be guilty of a Class C felo11y when the claim involves $500 or more. If the claim invo1ves less than $500, the person shall be guilty of a gross misdemeanor (RC\V 51.48.020) . . AJl parties - Co1nplete in Full Benefits can be delayed if all requested information is not con1pleted when your claim is filed. Please supply al1 requested information to ensure timely processing of your claim by your se1f insured employer or its representative. RCW 51.48.020: Employer's false reporting or failure to secure payment of compensation... Page 1 of 1 RCW 51.48.020 Employer's false reporting or failure to secure payment of compensation - False information by claimants - Unlawful actions - Penalties. (1)(a) Any employer, who knowingly misrepresents to the department the amount of his or her payroll or employee hours upon which the premium under this title is based, shall be liable to the state for up to ten times the amount of the difference in premiums paid and the amount the employer should have paid and for the reasonable expenses of auditing his or her books and collecting such sums. Such liability may be enforced in the name of the department. (b) An employer is guilty of a class C felony, if (i) The employer, with intent to evade determination and payment of the correct amount of the premiums, knowingly makes misrepresentations regarding payroll or emp.loyee hours; or (ii) The employer engages in employment covered under this title and, with intent to evade determination and payment of the correct amount ofthe premiums, knowingly fails to secure payment of compensation under this title or knowingly fails to report the payroll or employee hours related to that employment. (c) Upon conviction under (b) of this subsection, the employer shall be ordered by the court to pay the premium due and owing, a penalty in the amount of one hundred percent of the premium due and owing, and interest on the premium and penalty from the time the premium was due until the date of payment. The court shall: (i) Collect the premium and interest and transmit it to the department of labor and industries; and (ii) Collect the penalty and disburse it pro rata as follows: One-third to the investigative agencies involved; one-third io the prosecuting authority; and one-third to the general fond of the county in which the matter was prosecuted. Payments collected under this subsection must be applied until satisfaction of the obligation in the following order: Premium payments; penalty; and interest. (d) An employer found to have violated this subsection shall, in addition to any other penalties, be subject to the penalties in RCW39.12.055. (2) Any person claiming benefits under this title, who knowingly gives false information required in any claim or application under this title shall be guilty of a felony, or gross misdemeanor in accordance with the theft and anticipatory provisions of Title 9A RCW. [2008 c120 9; 1997c324 1; 1995 c1604; 1987c221 1; 1977ex.s. c323 22; 1971 ex.s. c289 63; 1961 c23 51.48.020. Prior: 1947 c 247 1(4d), part; Rem. Supp. 1947 7676d, part.] Notes: Conflict with federal requirements-- Severability- 2008 c 1.20: See notes following RCW 18.27.030. Severability- Effective date --1977 ex.s. c 323: See notes following RCW 51.04.040. Effective dates-- Severability -1971 ex.s. c 289: See RCW 51.98.060 and 51.98.070. http:/ I apps.leg. wa. gov/rcw/ default.aspx?cite=51.48. 020 9/6/2012 POLICE DEPARTMENT M E M 0 R A N D U M DATE: August 24, 2012 TO: Chief Kevin Milosevich FROM: Discipline Review Board Commander Karlewicz, Commander Eldridge, Sergeant Eddy SUBJECT: CO 12-08- Findings and Recommendations- Officer After careful review of this incident investigation we have determined, in concurrence, the following; This board finds Officer .....ll_version of events in this incident to be implausible. Because ofthe many in::cies in his own statements as well as the contradictions between his version of the events verses those of every witness, we do not believe that Officer was truthful during this investigation. FINDINGS Allegation #1: General Order 26.1.1 II.B- Unbecoming Conduct "Members of the Police Department shall conduct themselves at all times, both on and off duty, is such a manner as to reflect most favorably on the Department. Unbecoming conduct shall include that which brings the Department into disrepute or reflects discredit upon the individual as a member ofthe Police Department, or that which impairs the operation or efficiency of the Department or the individual". " Finding: Sustained Justification: Officer- brought discredit upon himself and the department when he attempted to claim an injury as occurring on duty, through Labor and Industries, when it in fact it occurred during a camping trip. Additionally, Officer- actions impaired the operation of the department by causing the department to have to call in other officers on overtime to fill the vacancy he created by his absence. Chief Kevin Milosevich Page 2 of3 August 24, 2012 Allegation #2: General Order 26.1.1 II.G- Fictitious Illness. or Injury Reports "Members of the Police Department shall not feign illness or injury, falsely report themselves ill or injured, or otherwise deceive, or attempt to deceive, any official of the Department as to the condition of their health. " Finding: Sustained Justification: Officer- deceived the Police Department by failing to report the injury suffered to his thumb while camping and claiming that it occurred at Defensive Tactics training. Officer- signed no less than three documents stating that his injury was the result of a "training accident". On the SIF-2 form, Officer- makes an affirmative declaration, with knowledge RCW 51.48.020, that the information contained therein was true to the best of his knowledge and belief. Officer- had multiple opportunities to divulge this information to several members of the police department and chose not to. He even failed to disclose the injury sustained while camping to his attending physician. Allegation #3: General Order 26.1.1 II.TT- Truthfulness "Upon the order of the Chief of Police, the Chief's Designate; or a superior.officer, members of the PoliCe Department shall fully and truthfully answer all questions specifically directed, and narrowly relating to the performance of official duties, or fitness for office, which may be asked of them." Finding: Sustained Justification: Officer- was untruthful during this investigation as evidenced by the numerous inconsistencies in his own statements as well as the contradictions between his statements and those of every witness. Additionally, when specifically asked, Officer -told Commander that his thumb was not injured prior to Defensive Tactics training. Officer does not dispute this although he claims that he does not recall that part of the conversation. Throughout this investigation, Officer- maintained that here-injured his thumb during Defensive Tactics training. However, Officer-told RPOG President, Sergeant Sjolin, that he did not injure his thumb at Defensive Tactics training as he had reported and.in fact expressed a concern to Sergeant Sjolin that he may be fired for his actions and asked him if he should resign. CO 12-08 Findings & Recommendations -- - ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ - - - - - - - - ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ - Chief Kevin Milosevich Page 3 of3 August 24, 2012 DISCIPLINE RECOMMENDATION This board recommends that Officer be terminated from employment with the Renton Police Department. CO 12-08 Findings & Recommendations- I'd like to start by saying that there are some misrepresentations or inaccuracies in the investigation. I will only clarify a couple of them due to time. First, Sgt. Sjolin told the Chief, after he spoke with me as my guild rep, that I said I hurt my thumb camping and not at training. This is inaccurate, as I did not say that I didn't hurt my thumb in training. On the contrary, I told him that I hurt it camping, but exacerbated it in training. -stated that she "noticed" my thumb was bruised and swollen. This is inaccurate again, as my thumb, at no time, did it ever get bruised and swelling was so minor on that day, that nobody else on my squad noticed it in briefing or throughout the day, as I worked all day up until training with it. If it was that noticeable, at least one other on my squad would have surely noticed it. 1 would also like to bring up a point that throughout the investigation, as you have all read, witnesses with the most damaging testimony, ALL started out with thinking that I was joking. That's because I was joking and everyone knows me as a jokester. It's understandable that after hearing me joke about L&l and then hear that I claimed it, without knowing the extent of the training injury that actually occurred, that they would naturally assume the joke was no longer a joke. 1 know how the situation looks. I know it looks very bad and I understand the gravity ofthe situation. I take ownership of how it looks. I can't change the fact that I joked about claiming an off duty injury as L&l, and then wound up hurting the same thumb that I joked about in DT. Everyone here has heard someone joke about claiming L&l before, myself included, but I never intended to actually claim the camping injury. I didn't report the DT injury immediately because I wanted to wait and see if I could work through it, like I could with the camping injury. I only claimed L&l after further injuring my thumb in DT, because I could no longer function in my duties and thought I was supposed to report injuries that occur on the job. As for not disclosing that I hurt my thumb camping on the L&l paperwork and city forms, there was no place on that asked for it and nobody asked me if there was any prior or existing injury. It didn't occur to me at any time to disclose that, because 1 was able to function normally in my job and it didn't keep me from performing any of my duties, however after further injuring it in DT, I was no longer able to perform the duties of my office and became a liability to myself, my partners and the department. The bottom line is that I used poor judgment and poorly chosen words in a joking manner at an inappropriate time and place, and it's gone too far. I made a mistake by joking about claiming an injury and it came back to bite me. I'm human. I know that if I hadn't made a joke, I wouldn't be in front of you today. If I had truly intended to claim L&l on a non-work related injury, I wouldn't have told anybody, let alone joked about it to several people, and especially, I would not have joked w i t ~ because of her situation. I definitely would have excluded friends from involvement and knowledge to protect them as well. ., \ POLICE DEPARTMENT M E M 0 R A N D U M DATE: September 24, 2012 FROM: Officer Kevin Milosevich, Chief of Police ~ ( TO: SUBJECT: Intent to Discipline C0-1208 1 have received and reviewed the investigation that was conducted by Comma rider Paul Cline. have also reviewed the discipline recommendation submitted by the Discipline Committee consisting of Sergeant Eddy, and Commander's Karlewicz and Eldridge. This investigation is the result of an on-duty injury claim that reportedly occurred during defensive tactics training. Information was discovered that you injured the same area prior to the training and admitted to others that your intention was to report it as an on-duty injury. On numerous occasions to a wide variety of persons you were deceptive in the reporting of this incident. The following violations of the General Orders apply. General Order 26.1.1.11.8- Unbecoming Conduct Finding: Members of the Police Department shall conduct themselves at all times, both on and off duty, in such a manner as to reflect most favorably on the Department. Unbecoming conduct shall include that which brings the Department into disrepute or reflects discredit upon the individual as a member of the Police Department, or that which impairs the operation or efficiency of the Department or the individual. Sustained Your actions and statements during this incident have a negative impact on you as a member of the Department. General Order 26.1.1.11.5- Fictitious Illness or Injury Reports Finding: Members of the Police Department shall not feign illness or injury, falsely report themselves ill or injured, or otherwise deceive, or attempt to deceive, any official of the Department as to the condition of their health. Sustained The Department cannot determine if your thumb was injured during a training exercise, however we can show that you were deceptive in the reporting of this incident. General Order 26.1.1.11.TT- Truthfulness Upon the order of the chief of Police, the Chiefs designate, or a superior officer, members of the Police Department shafl fully and truthfully answer all questions specifically directed, and narrowly relating to the performance of official duties, or fitness for office, which may be asked of them. Finding:. Sustained The investigation revealed that you were untruthful when discussing this issue with Commander Documents associated with the injury that are submitted under legal notice (RCW 51.48.050} demonstrate that you were purposely deceptive. Discipline Committee The Discipline Committee met on August 24, 2012 to review this investigation. At this meeting, the Guild Attorney presented a one-page document that was your response to this investigation. In this statement you stated: That you hurt your thumb camping and exacerbated the injury during training. That you don't believe that Officer could have noticed your thumb was bruised because your other co-workers did not observe the same. That you were just joking about reporting it as an L & I injury and you were the subject of poor timing. That you could not report the previous injury due to a lack of space on the L&l injury packet. And finally, that if you had intended to report this as an L&l injury, you would have never told anyone about it. It was the recommendation of that committee that your employment be terminated. The investigation determined that: Prior to July 13, 2012 you injured your right arm and thumb while camping. On July 13, 2012 Officer your injured right arm and thumb about one and one-half hours before you attended in-service training on weapon retention. During this contact, you told her that you intended to report this as an on-duty injury at the upcoming defensive tactics training later in the afternoon. You attended defensive tactics training and paired up with Officer- During the training you reported that you injured your thumb. Officer- does not believe that you injured your thumb during this training event. On July 14, 2012 you signed the department's Supervisor's Report of Employee Injury form. This form was filled out by OIC-and states that the injury occurred during training. On July 14, 2012, you submitted the Self-Insurer Accident Report (SIF-2). In this report you stated that the injury occurred during defensive tactics training. You initialed the document under the section that states, "!have read the legal notice on the reverse side of the employee's copy. I declare that these statements are true to the best of my knowledge and belief." In both of the reports above, you chose not to state that you re-aggravated a preexisting injury to your thumb. Prior to the defensive tactics training, you chose to partner with Officer- Officer - has stated that you were going to report the injury as an L&l claim, but he thought you were joking. , On July 19, 2012 you had a phone conversation with Commander In this conversation, you stated that your thumb was not injured prior to attending training. You stated that the injury to your thumb at training was new. As a result of this injury, you were off work for a 60 hour period, however at the time you only had one hour of sick leave available to you. The city has received the "Providers Initial Report" associated with this L&l claim. The claim describes the injury to your right thumb. On this claim form, under 8b the "no" box was checked. The question under 8b was, "Is there any pre-existing impairment of the injured area? This form shows your initials in box 15 that you have read the statement of Responsibility and the legal notice on the reverse side of the form. Discipline: Termination The Department's General Orders outlines your appeal rights. Please notify Melissa Day within 5 days of receiving this memorandum if you wish to discuss this discipline recommendation or request to exercise your appeal options. After notification, I will schedule the appropriate meeting or review board. I will then notify you of my final decision. Administrative leave: Effective immediately, you are being placed on Administrative Leave with pay. During this period of time, your police authority is suspended. I will need to collect your commission card, access card, and your issued firearm. Please be available for recall during your normally scheduled work period until this matter is resolved. Should you be unavailable due to pending personal leave time, you will still need to use personal leave. Please coordinate this with CommanderVanValey. 1 will keep you informed of the status of the investigation. I have received a copy of this discipline memorandum. Date " ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - " " POLICE DEPARTMENT M E M 0 R A N D U M DATE: October 2, 2012 TO: Officer FROM: Kevin Milosevich, Chief of Police SUBJECT: Intent to Discipline C0-1208 **Revised 1 have received and reviewed the investigation that was conducted by Commander Paul Cline. have also reviewed the discipline recommendation submitted by the Discipline Committee consisting of Sergeant Eddy, and Commander's Karlewicz and Eldridge. This investigation is the result of an on-duty injury claim that reportedly occurred during defensive tactics training. Information was discovered that you injured the same area prior to the training and admitted to others that your intention was to report it as an on-duty injury. On numerous occasions to a wide variety of persons you were deceptive in the reporting ofthis incident. The following violations of the General Orders apply. General Order 26.1.1.11.8- Unbecoming Conduct Members of the Police Department shall conduct themselves at all times, both on and off d,uty, in such a manner as to reflect most favorably on the Department. Unbecoming conduct shall include that which brings the Department into disrepute or reflects discredit upon the individual as a member of the Police Department, or that which impairs the operation or efficiency of the Department or the individual. Finding: Sustained Your actions and statements during this incident have a negative impact on you as a member of the Department. General Order 26.1.1.li.G- Fictitious Illness or Injury Reports Finding: Members of the Police Department shall not feign illness or injury, falsely report themselves ill or injured, or otherwise deceive, or attempt to deceive, any official of the Department as to the condition of their health. Sustained The Department cannot determine if your thumb was injured during a training exercise, however we can show that you were deceptive in the reporting of this incident. General Order 26.1.1.11.TT- Truthfulness Upon the order of the chief of Police, the Chief's designate, or a superior officer, members of the Police Department shall fully and truthfully answer all questions specifically directed, and narrowly relating to the performance of official duties, or fitness for office, which may be asked of them. Finding: Sustained The investigation revealed that you were untruthful when discussing this issue with Commander Documents associated with the injury that are submitted under legal notice (RCW 51.48.050) demonstrate that you were purposely deceptive. Discipline Committee The Discipline Committee met on August 24, 2012 to review this investigation. At this meeting, the Guild Attorney presented a one-page document that was your response to this investigation. In this statement you stated: That you hurt your thumb camping and exacerbated the injury during training. That you don't believe that Officer ould have noticed your thumb was bruised because your other co-workers did not observe the same. That you were just joking about reporting it as an L & I injury and you were the subject of poor timing. That you could not report the previous injury due to a lack of space on the L&l injury packet. And finally, that if you had intended to report this as an L&l injury, you would have never told anyone about it. It was the recommendation of that committee that your employment be terminated. The investigation determined that: Prior to July 13, 2012 you injured your right arm and thumb while camping. On July 13, 2012 Officer bserved your injured right arm and thumb about one and one-half hours before you attended in-service training on weapon retention. During this contact, you told her that you intended to report this as an on-duty injury at the upcoming defensive tactics training later in the afternoon. You attended defensive tactics training and paired up with Officer- During the training you reported that you injured your thumb. Officer- does not believe that you injured your thumb during this training event. On July 14, 2012 you signed the department's Supervisor's Report of Employee Injury form. This form was filled out by OIC .. and states that the injury occurred during training. On July 14, 2012, you submitted the Self-Insurer Accident Report (SIF-2). In this report you stated that the injury occurred during defensive tactics training. You initialed the document under the section that states, "/have read the legal notice on the reverse side of the employee's copy. I declare that these statements are true to the best of my knowledge and belief" In both of the reports above, you chose not to state that you re-aggravated a preexisting injury to your thumb. Prior to the defensive tactics training, you chose to partner with Officer- Officer -has stated that you were going to report the injury as an L&l claim, but he thought you were joking. On July 19, 2012 you had a phone conversation with Commander In this conversation, you stated that your thumb was not injured prior to attending training. You stated that the injury to your thumb at training was new. As a result of this injury, you were off work for a 60 hour period, however at the time you only had one hour of sick leave available to you. The city has received the "Providers Initial Report" associated with this L&l claim. The claim describes the injury to your right thumb. On this claim form, under 8b the "no" box was checked. The question under 8b was, "Is there any pre-existing impairment of the injured area? This form shows your initials in box 15 that you have read the statement of Responsibility and the legal notice on the reverse side of the form. Discipline: Fifteen Day Suspension without pay (180 hours) The Department's General Orders outlines your appeal rights. Please notify Melissa Day within 5 days of receiving this memorandum if you wish to discuss this discipline recommendation or request to exercise your appeal options. After notification, I will schedule the appropriate meeting or review board. I will then notify you of my final decision. I have received a copy of this discipline memorandum. Sent to RPOG President Sjolin via email 10/2/12 at 1505 hours. kim Officer Date Kevin Milosevich From: Sent: To: Subject: Attachments: Kevin Milosevich Tuesday, October 02, 2012 3:05PM Craig W Sjolin Ammended Letter of Intent for C0-1208 intent revised.doc 1 POliCE DEPARTMENT DATE: TO: CC: FROM: SUBJECT: M E M 0 R A N D U M October 1, 2012 Kevin Milosevich, Chief of Police Ed Van Valey, Commander Paul Summers, S e r g e a n ~ Officer CO 12-08 loudermill Hearing Per G.O. 26.1.6 Discipline Appeal Procedure, I respectfully request a Loudermill Hearing with you, at your earliest convenience. c:\documents and settings\psummers\local settings\temporary internet files\content outlook\rg23 dogb\memoversionl.doc POLICE DEPARTMENT MEMORANDUM DATE: October 19, 2012 TO: Officer FROM: Kevin Milosevich, Chief f\ SUBJECT: Discipline C0-1208 1 have received and reviewed the investigation that was conducted by Commander Paul Cline. I have also reviewed the discipline recommendation submitted by the Discipline Committee consisting of Sergeant Eddy, and Commander's Karlewicz and Eldridge. This investigation is the result of an on-duty injury claim that reportedly occurred during defensive tactics training. Information was discovered that you injured the same area prior to the training and admitted to others that your intention was to report it as an on-duty injury. On numerous occasions to a wide variety of persons you were deceptive in the reporting of this incident. The following violations ofthe General Orders apply. General Order 26.l.l.II.G- Fictitious Illness or Injury Reports Members of the Police Department shall not feign illness or injury, falsely report themselves ill or injured, or otherwise deceive, or attempt to deceive, any official of the Department as to the condition of their health. Finding: Sustained The Department cannot determine if your thumb was injured during a training exercise, however we can show that you were deceptive in the reporting of this incident. General Order 26.l.l.II.TI- Truthfulness Upon the order of the chief of Police, the Chiefs designate, or a superior officer, members of the Police Department shall fully and truthfully answer all questions specifically directed, and narrowly relating to the performance of official duties, or fitness for office, which may be asked of them. Finding: Sustained The investigation revealed that you were untruthful when discussing this issue with Commander Documents associated with the injury that are submitted under legal notice (RCW 51.48.050) demonstrate that you were purposely deceptive. Discipline Committee The Discipline Committee met on August 24, 2012 to review this investigation. At this meeting, the Guild Attorney presented a one-page document that was your response to this investigation. In this statement you stated: That you hurt your thumb camping and exacerbated the injury during training. That you don't believe that Officer ould have noticed your thumb was bruised because your other co-workers did not observe the same. That you were just joking about reporting it as an L & I injury and you were the subject of poor timing. That you could not report the previous injury due to a lack of space on the L&l injury packet. And finally, that if you had intended to report this as an L&l injury, you would have never told anyone about it. It was the recommendation of that committee that your employment be terminated. The investigation determined that: Prior to July 13, 2012 you injured your right arm and thumb while camping. On July 13, 2012 Officer bserved your injured right arm and thumb about one and one-half hours before you attended in-service training on weapon retention. During this contact, you told her that you intended to report this as an on-duty injury at the upcoming defensive tactics training later in the afternoon. You attended defensive tactics training and paired up with Officer During the training you reported that you injured your thumb. Officer- does not believe that you injured your thumb during this training event. On July 14, 2012 you signed the department's Supervisor's Report of Employee Injury form. This form was filled out by OIC nd states that the injury occurred during training. On July 14, 2012, you submitted the Self-Insurer Accident Report {SIF-2). In this report you stated that the injury occurred during defensive tactics training. You initialed the document under the section that states, "!have read the legal notice on the reverse side of the employee's copy. I declare that these statements are true to the best of my knowledge and belief" . In both of the reports above, you chose not to state that you re-aggravated a preexisting injury to your thumb. Prior to the defensive tactics training, you chose to partner with Officer- Officer- has stated that you were going to report the injury as an L&l claim, but he thought you were joking. On July 19, 2012 you had a phone conversation with Commander In this conversation, you stated that your thumb was not injured prior to attending training. You stated that the injury to your thumb at training was new. As a result of this injury, you were off work for a 60 hour period, however at the time you only had one hour of sick leave available to you. The city has received the "Providers Initial Report" associated with this L&l claim. The claim desc.ribes the injury to your right thumb. On this claim form, under 8b the "no" box was checked. The question under 8b was, "Is there any pre-existing impairment of the injured area? This form shows your initials in box 15 that you have read the statement of Responsibility and the legal notice on the reverse side of the form. DisCipline Intent My initial intent to discipline was given to you on September 24th_ At that time, I advised you that it was my intent to terminate your employment and place you on administrative leave. On October 2nd, I revised by discipline memorandum and advised you that I intended to discipline you with a 180 hour suspension without pay. Pre-discipline Meeting On Friday, October 1ih a pre-discipline hearing was held. At this meeting, in addition to you, present was RPOG member Mark Coleman and your Guild Attorney Chris Vick. This was a brief meeting. During this meeting you sincerely apologized for your actions and accepted responsibility. After you left the room, I had a brief conversation with Officer Coleman and Guild Attorney Vick. Discipline: Fifteen Day Suspension without pay (180 hours) Sustained allegations of untruthfulness have serious ramifications in law enforcement. As a result of this sustained allegation of misconduct, I will need to forward the investigation to the King County Prosecutor's Office to determine if you will be placed on the "Brady" list. While my initial intent was termination, I believe that you can overcome this and become a responsible and productive member of the Department. That is why I changed my initial intent from termination to suspension. The Department's General Orders and the collective bargaining agreement outline your appeal rights. 1 have received a copy ofthis discipline memorandum. ltJ-17-12- Date _,.--. POLICE DEPARTMENT M E M 0 R A N D U M DATE: August 24, 2012 TO: Chief Kevin Milosevich FROM: Discipline Review Board Commander Karlewicz, Commander Eldridge, Sergeant Eddy SUBJECT: CO 12.-08- Findings and Recommendations- Officer- After careful review of this incident investigation we have determined, in concurrence, the following; FINDINGS Allegation #1: General Order 26.1.1 II.B- Unbecoming Conduct ''Members of the Police Department shall conduct themselves at all times, both on and off duty, is such a manner as to reflect most favorably on the Department. Unbecoming conduct shall include that which brings the Department into disrepute or reflects discredit upon the individual as a member of the Police Department, or that which impairs the operation or efficiency of the Department or the individual". Finding: Sustained Justification: Officer- failed to report to his supervisor the fact that he was aware that Officer- injured his thumb on a camping trip prior to claiming it was injured at Defensive Tactics training. When Officer- became aware that Officer- had actually claimed his injury as occurring on-duty, he should have reported this to a supervisor. His failure to do so reflected discredit on himself and the department. Chief Kevin Milosevich Page 2 of2 August 24, 2012 Allegation #2: General Order 26.1.1 II.G- Fictitious Illness or Injury Reports "Members of the Police Department shall not ftign illness or injwy, falsely report themselves ill or injured, or otherwise deceive, or attempt to deceive, any official of the Department as to the condition of their health. " Finding: Exonerated Justification: This investigation revealed that Officer- never reported that he was injured. This allegation does not apply to his role in this incident Allegation #3: General Order 26.1.1 II.TT- Truthfulness "Upon the order of the Chief of Police, the Chief's Designate, or a superior officer, members of the Police Department shall fully and truthfully answer all questions specifically directed, and narrowly relating to the performance of official duties, or fitness for office, which may be asked of them. " Finding: Exonerated Justification: There is no indication in this investigation that Officer- was not truthful when asked about his role in this incident His failure to report that Officer -was injured while camping and not at Defensive Tactics training is addressed in allegation # 1. DISCIPLINE RECOMMENDATION It is the recommendation of this board that Officer- receive a Letter of Reprimand. CO 12-08 Findings & Recommendations -- POLICE DEPARTMENT M E M 0 R A N D U M DATE: September 13, 2012 FROM: -Officer 0 Kevin Milosevich, Chief of Police TO: SUBJECT: Intent to Discipline C0-1208 1 haveTeceived and reviewed the investigation that was conducted by Commander Paul Cline. have also reviewed the discipline recommendation submitted by the Discipline Committee consisting of Sergeant Eddy, and Commander's Karlewicz and Eldridge. The investigation revealed that you failed to notify to your supervisor that you were aware that Officer injured his thumb off-duty prior to Officer claiming to have injured it on- duty. General Order 26.1.1.11.B- Unbecoming Conduct Members of the Police Department shall conduct themselves at all times, both on and off duty, in such a manner as to reflect most favorably on the Department. Unbecoming conduct shall include that which brings the Department into disrepute or reflects .discredit upon the individual as a member of the Police Department, or that which impairs the operation or effkiency of the Department or the individual. Finding: Sustained Discipline: Letter of Reprimand The Department's General Orders outlines your appeal rights. Please notify Melissa Day within 5 days of receiving this memorandum if you wish to discuss this discipline recommendation or request to exercise your appeal options. After notification, I will schedule the appropriate meeting or review board. I will then notify you of my final decision. I ... - ' I I I I orandum. Date POliCE DEPARTMENT M E M 0 R A N D u M DATE: October 1, 2012 TO: Officer FROM: Kevin Milosevich, Chief of Police ~ SUBJECT: Disciplin.e C0-1208 I have received and reviewed the investigation that was conducted by Commander Paul Cline. have also reviewed the discipline recommendation submitted by the Discipline Committee consisting of Sergeant Eddy, and Commander's Karlewicz and Eldridge. The investigation revealed that you failed to notify to your supervisor that you were aware that Officer injured his thumb off-duty prior to Officer claiming to have injured it on- duty. General Order 26.1.1.11.8- Unbecoming Conduct Finding: Members of the Police Department shall conduct themselves at all times, both on and off duty, in such a manner as to reflect most favorably on the Department. Unbecoming conduct shall include that which brings the Department into disrepute or reflects discredit upon the individual as a member of the Police Department, or that which impairs the operation or efficiency of the Department or the individual. Sustained On September 13, 2012 you were given a memorandum that provided an opportunity to discuss this incident with me or the disciplinary review board. By your silence during the five day period I have assumed that you have chosen not to discuss this incident. Discipline: letter of Reprimand The Department's General Orders and the collective bargaining agreement outline your appeal rights. t0-\-\'2- Date