WARREN POA
Form 50
Updated On: Nov 28, 2020

WHEN WRITING A FORM 50 - 

1. Include opening Garrity Statement that reads:

On ___(Insert Date)____, at _____ hrs., I was ordered to submit this Form 50 by ___(Insert Supervisor's Name)___  as a condition of my employment.   

2. Report only facts relevant to the question being asked, or the incident being reviewed.  Since this is not a police incident report, you can include opinions, but only relevant opinions which lead to your thought process or what you believed at the time of the incident.  

3. Have the Form 50 reviewed by a WPOA Union Steward or WPOA Board Member.

4. Make sure you signed and dated it.

5. Place a copy in the WPOA Union Box located in the traffic office lobby.


  • WARREN POA

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