----------------------------~ - - - ~ ~ ~ - - - - -

Reporting Supervisor's Signature Date

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.
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Sun Mon Tue
Fri
Sat
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91
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21 !
22i
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29
Sun Mon Tue Wed .
Sat
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Jul
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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