Form CJSTC78 "Internal Investigation Report" - Florida

What Is Form CJSTC78?

This is a legal form that was released by the Florida Department of Law Enforcement - a government authority operating within Florida. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on August 1, 2018;
  • The latest edition provided by the Florida Department of Law Enforcement;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form CJSTC78 by clicking the link below or browse more documents and templates provided by the Florida Department of Law Enforcement.

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Download Form CJSTC78 "Internal Investigation Report" - Florida

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INTERNAL INVESTIGATION REPORT
CJSTC
Incorporated by Reference in Rule 11B-20.001(3)(a)5.b. and 11B-27.003(2)(a), F.A.C.
78
Florida Department of
Law Enforcement
Please type or print in black or blue and use capital and small letters for names, titles, and address
OFFICER
1.
Last Four Digits of Officer’s Social Security Number:
2.
Officer’s Name:
Last
First
MI
3.
Officer’s Last Known Address:
Street
City
State
Zip Code
4.
Officer’s Telephone Number:
AGENCY
5.
Agency ORI: FL
6.
Agency Name:
7.
Agency Contact Person:
8.
Agency Contact Person’s Telephone Number:
9.
Agency Fax Number:
VIOLATION - ALLEGATION
10. Nature of Allegation(s):
11. Agency Disposition:
Sustained – (Violation of Section 943.13(4) or (7) or Rule 11B-27.0011, F.A.C.
Sustained – (Violation of Agency Policy):
Not Sustained:
Unfounded:
Exonerated:
12. Limitation Period for Disciplinary Action: Date Internal Investigation Initiated:
Date Internal Investigation Completed:
Exception to limitation period for disciplinary action: Place a check mark by the exceptions to limitations that apply
Days Tolled
Written waiver of limitation by officer
Ongoing criminal investigation or criminal prosecution
Officer incapacitated or unavailable
Multi-jurisdictional investigation
Emergency or natural disaster as declared by the Governor
13. Criminal Charges Filed:
14. Agency Disciplinary Action:
15. If the allegation has been sustained and determined to be a violation of Section 943.13(4) or (7), F.S. or Rule 11B-27.0011, F.A.C., attach and forward the
following documentation to the Florida Department of Law Enforcement.
Summary of the Facts
Internal Investigation Report
Name and Address of Witness
Witness Statement/Disposition
Certified Court Documents
Other Supportive Information
NOTICE: Pursuant to Section 943.1395(5), F.S., an employing agency must conduct an internal investigation when having cause to suspect that an officer it
employs or employed at the time of the alleged violation, or employed on a Temporary Employment Authorization is not in compliance with Section 943.13(4) or (7),
F.S. or Rule 11B-27.0011, F.A.C. If the investigation is sustained, the employing agency must forward a report to the Commission as specified by Rule
11B-27.003.
__________________________________________________________________
16. Agency administrator’s signature
17. Date signed
18. Agency administrator’s name and title
Created 1/1/1993
Original – FDLE
Copy - Agency
1 of 2
Commission-Approved Revisions: 8/10/17
Form Effective Date: 8/2018
INTERNAL INVESTIGATION REPORT
CJSTC
Incorporated by Reference in Rule 11B-20.001(3)(a)5.b. and 11B-27.003(2)(a), F.A.C.
78
Florida Department of
Law Enforcement
Please type or print in black or blue and use capital and small letters for names, titles, and address
OFFICER
1.
Last Four Digits of Officer’s Social Security Number:
2.
Officer’s Name:
Last
First
MI
3.
Officer’s Last Known Address:
Street
City
State
Zip Code
4.
Officer’s Telephone Number:
AGENCY
5.
Agency ORI: FL
6.
Agency Name:
7.
Agency Contact Person:
8.
Agency Contact Person’s Telephone Number:
9.
Agency Fax Number:
VIOLATION - ALLEGATION
10. Nature of Allegation(s):
11. Agency Disposition:
Sustained – (Violation of Section 943.13(4) or (7) or Rule 11B-27.0011, F.A.C.
Sustained – (Violation of Agency Policy):
Not Sustained:
Unfounded:
Exonerated:
12. Limitation Period for Disciplinary Action: Date Internal Investigation Initiated:
Date Internal Investigation Completed:
Exception to limitation period for disciplinary action: Place a check mark by the exceptions to limitations that apply
Days Tolled
Written waiver of limitation by officer
Ongoing criminal investigation or criminal prosecution
Officer incapacitated or unavailable
Multi-jurisdictional investigation
Emergency or natural disaster as declared by the Governor
13. Criminal Charges Filed:
14. Agency Disciplinary Action:
15. If the allegation has been sustained and determined to be a violation of Section 943.13(4) or (7), F.S. or Rule 11B-27.0011, F.A.C., attach and forward the
following documentation to the Florida Department of Law Enforcement.
Summary of the Facts
Internal Investigation Report
Name and Address of Witness
Witness Statement/Disposition
Certified Court Documents
Other Supportive Information
NOTICE: Pursuant to Section 943.1395(5), F.S., an employing agency must conduct an internal investigation when having cause to suspect that an officer it
employs or employed at the time of the alleged violation, or employed on a Temporary Employment Authorization is not in compliance with Section 943.13(4) or (7),
F.S. or Rule 11B-27.0011, F.A.C. If the investigation is sustained, the employing agency must forward a report to the Commission as specified by Rule
11B-27.003.
__________________________________________________________________
16. Agency administrator’s signature
17. Date signed
18. Agency administrator’s name and title
Created 1/1/1993
Original – FDLE
Copy - Agency
1 of 2
Commission-Approved Revisions: 8/10/17
Form Effective Date: 8/2018
INSTRUCTIONS FOR COMPLETING FORM CJSTC-78
The Internal Investigation Report form should be completed any time an
7.
Agency Contact Person. Enter the name of person in your agency who can
provide additional information to the Criminal Justice Standards and Training
internal investigation has been completed.
Commission regarding the officer’s misconduct.
Use this form to report to the Commission any sustained allegations(s) of
1.
8.
Agency Contact Telephone Number. Enter the telephone number of the contact
person whose name you entered in item 7.
non-compliance with Section 943.13(4) or (7), F.S., or Rule
9.
Agency FAX Number. Enter the FAX number for the agency if the agency has
11B-27.0011, F.A.C.
one.
Submit this form within 45 days of the date the allegation has been
2.
10.
Nature of Allegation(s). Enter a brief explanation of the officer’s misconduct.
sustained.
Indicate in the narrative whether the elements of the misconduct constitute a felony
Submit this form to the Criminal Justice Professionalism Program if the
3.
or misdemeanor, whether criminally charged or not, or, constitutes a moral
circumstances meet the following criteria:
character violation.
The officer pleads guilty, no contest, is found guilty, or is convicted of
11.
Agency Disposition. Indicate the findings of the internal investigation by entering
any felony or of a misdemeanor involving perjury or a false statement,
an X beside the appropriate box.
regardless of withheld adjudication or suspended sentence.
Sustained: Violation of Section 943.13(4) or (7) F.S., or Rule
11B-27.0011, F.A.C. In this case, the Internal Investigation Report form
A plea of guilty or a verdict of guilty for any of the enumerated
should be forwarded to the Criminal Justice Professionalism Program along
misdemeanor violations or, the perpetration by an officer of an act that
with supporting documentation.
would constitute any felony offense or any of the enumerated
Sustained: Violation of Agency Policy. This indicates a violation of
misdemeanors.
agency rules and/or regulations. These violations do not need to be reported
The substantiated facts involve an act or conduct which constitutes:
4.
to the Criminal Justice Professionalism Program.
Excessive use of force;
Not Sustained: Insufficient evidence available to prove or disprove the
Misuse of official position (Section 112.313(6), F.S.;
allegation.
Having an unprofessional relationship with an inmate, detainee,
Unfounded: This indicates that the allegations are false or not supported
probationer or parolee, or community controllee;
by facts.
Sexual harassment involving physical contact or misuse of official
Exonerated - This indicates that the internal investigation determined that
the alleged actions occurred but were lawful and proper.
position;
12.
Limitation Period for Disciplinary Action.
Enter the date the internal
Engaging in sex while on duty;
investigation was initiated and completed. If any exceptions to the limitation period
False statements during the employment application process;
for disciplinary action exist, check all that apply and indicate the number of days
Violation of standards of test administration for the Basic Abilities Test
tolled.
(BAT) or State Officer Certification Examination (SOCE);
13.
Criminal Charges Filed. Enter whether or not criminal charges were filed against
Conduct which subverts or attempts to subvert the Criminal Justice
the officer for the sustained misconduct. If criminal charges were filed, indicate
Standards and Training Commission, criminal justice training school,
charge and disposition along with the court case number. In addition, attach copies
or employing agency examination process.
of all available court documentation.
14.
Agency Disciplinary Action. Enter the type of administrative disciplinary action
Any overt, conspicuous, or public act of a sexual or simulated sexual
taken, if applicable i.e.; suspension, probation, etc.
nature which is likely to be observed by others;
15.
Attach and Forward the Following. If the allegations have been sustained and
Any willful and offensive exposure or exhibition of sexual organs in
determined to be a violation of Section 943.13(4) or (7), F.S. or Rule 11B-27.0011,
public or on the private premises of another or so near that it is likely to
F.A.C., indicate which of the following information has been attached with this form
be seen, except in any place provided or set apart for that purpose;
by entering an X beside the appropriate box.
Willful failure of the agency head to comply with Chapter 943, F.S., as
Summary of the Facts.
This should be in the form of letter and/or report
it pertains to Commission rule;
giving a brief synopsis of the facts.
Intentional abuse of a Temporary Employment Authorization;
Internal Investigation Report. This should be a copy of the internal
Any willful and knowledgeable misuse of electronic databases used to
investigation report regarding the officer’s misconduct.
Witness Information. This should include names, addresses and telephone
access restricted information for an illegitimate or personal purpose
numbers of individuals who witnessed the officer’s misconduct.
with bad intent;
Statements and Depositions.
This should include any and all sworn
Testing positive for any controlled substances.
testimony from either the officer or witnesses.
NOTE: DO NOT forward this form to the Criminal Justice Professionalism
Certified Court Documents.
This should include any evidence, pictures,
audio or video tapes, etc., or any other information that would support the
Program if the allegations have been sustained, but are violations of agency policy
sustained allegation of officer misconduct.
only, or other agency disposition has been found. If the allegations do not prove
16.
Agency Administrator’s Signature.
Agency administrator or designee’s
to be a violation of Section 943.13(4) or (7), F.S. or Rule 11B-27.0011, F.A.C., a
signature.
copy of this form should be made a part of the investigative package and kept on
17.
Date Signed. The date the agency administrator or designee signed this form.
file at the agency.
18.
Agency Administrator’s Name and Title. Type or print in black ink the agency
administrator or designee’s name and title.
HOW TO COMPLETE EACH ITEM
1.
Officer’s Social Security Number. Enter the last four digits of the officer’s Social
AGENCY REQUIREMENTS
Security number as in this example: 000-00-1234.
2.
Officer’s Name. Enter the officer’s legal last and first name. If the officer has
Submit the completed Internal Investigation Report form CJSTC-78 and
middle initial, enter it above MI.
attachments to: Florida Department of Law Enforcement, Criminal Justice
3.
Officer’s Last Known Address. Enter the officer’s last known street address
Professionalism Program, Post Office Box 1489, Tallahassee, Florida
including the apartment number or P.O. Box number and the city. Enter the two-
32302-1489, Attention: Professional Compliance.
digit U.S. Postmaster’s abbreviation of state and nine-digit zip code for the last
known address on the third line. Enter the first five digits of the zip code as in this
example: 32314-6554.
4.
Officer’s Telephone Number. Enter the officer’s last known personal telephone
number as in this example: (123) 456-7891.
5.
Agency ORI: Enter the last seven digits of the agency’s originating agency
identifier number. There are nine digits in agency ORI codes. The first two have
been entered, which are FL. Enter as in this example: FL0370000.
6.
Agency Name. Enter the agency’s name.
FORM CJSTC-78
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