BROWARD COUNTY SHERIFF’S OFFIC!
SEPARATION FORM
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Please forward this form, upon its completion, to your immediate supervisor for pro
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\ay employment wth Broward County Shei Offes forthe telowing reason():
omer employment C1Personat Reasons Retirement Obeath other (xpi Blow)
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have reviewed this form prior fo its execution and had the opportunity fo review and discuss its contents with the
‘of my choice. Further, | voluntarily agree fo be bound by the ferms and conditions
or conditions have Been r ‘upon, of may be relied on excopt those, which are
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Captain Joseph Achilarse#7848 roy Cory <1 Sitwtal 0222/6
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Gommenders Signature “Date Signed
charges Pending Verification by Division with Internal Affairs:
charges Pening? wbvesONo Verhedty T (GAZGOTIA 7501 owe: OPI2 IE
OTE: Goninalon oT employee Medical, dana, and Me surance benefits wil Be i complance with appicabie COBRA Tay
{eee Employee Bonefis). Retirement benefits wil be subject to FS Chapter 121 (See FRS Handbook) Al information
ere ante tesigneten wil become por of pubic recore. A Broward County Sherifs Ofice employee who has resigned is
Croniited from re-amployment except upon approval fram the Sheri,
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ctnovsge Captain Joseph Achilarpe-#7848__——
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‘Acknowledges: Colonel Jack Dale #169200 be Bana
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Charges Pending Final Verification by Human Resources with Internal Affairs:
Charges Pending? Yes No Verified By Dates
‘Accrual Balances: Grandfather Cap:
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HR Representative: Date:
GEO APH Revised OT)Sheriff Scott Israel
DATE: February 22, 2018
To: Deputy Scot Peterson, CCN 4308
DLE/Parkland
FROM: Lt. Barry Lindquist, Executive Officer
Division of Internal Affairs
SUBJECT: INTERNAL AFFAIRS CASE # Not Yet Assigned
This memorandum will serve as notification that you are under investigation by the
Division of Internal Affairs, pursuant to the following allegation:
SPM 2.4 Meeting BSO Standards
The investigator assigned to this case is Sergeant Al Rengifo, Division of Internal
Affairs, telephone (954) 321-1100.
While under investigation, you may not disclose any information regarding this case to
anyone except your attorney/representative and the investigator assigned. (See Sheriff's
Policy Manual 5.2.1 Internal Investigations)
You will be afforded all rights as stated in the Sheriff's Policy Manual, applicable collective
bargaining agreement, and law to include, but not limited to, F.S.S. 112.80.
Copy: FileSheriff Scott [srael
RAA-18-008
Date: February 22, 2018
To: Deputy Edward Eason, CCN 10558
DLE/Parkland District
From: Captain Joseph Achil
Division of Internal
o-
Subject: RESTRICTED ADMINISTRATIVE ASSIGNMENT
Effective immediately, you are placed on restricted administrative assignment pursuant to
Internal Affairs Case #Not Yot Assigned for the following allegation:
‘SPM 2.4 Meoting BSO Standards
You are directed to contact the office of internal Affairs at 10:00 am on February 23, 2018 at
{954/321-1100 for notification of your assignment while on restricted duty.
While on restricted administrative assignment, you will surrender your BSO ID card, any other
‘symbol of authority, and any BSO issued weapons. In addition, you are precluded from driving any
BSO vehicle. You are prohibited from entering any BSO facility, except where assigned, without the
approval of Internal Affairs.
During this investigation, you may not discuss this Internal Affairs case with anyone except your
attomey/representative and the assigned investigator.
Saf En— 0 837 2-227,
Enfployee CCN Date
RECEIVED B)
ce: Colonel John Dale, Executive Director, Department of Professional Standards
Colonel Jim Polan, Executive Director, Department of Law Enforcement
Major Nathan Osgood, Patrol Region North
Captain Jan Jordan, Parkland District
Human ResourcesSheriff Scott Israel
RAA-18-007
Dat February 22, 2018
To: Deputy Guntis Trelis, CCN 9714
DLE/Parkland District
From: Captain Joseph Achiaive
Division of Internal
Subject: RESTRICTED ADMINISTRATIVE ASSIGNMENT
Effective immediately, you are placed on restricted administrative assignment pursuant to
Internal Affairs Case #Not Yet Assigned for the following allegation:
SPM 2.4 Meeting BSO Standards
‘You are directed to contact the office of Internal Affairs at 10:00 am on February 23, 2048, at
(954/321-1100 for notification of your assignment while on restricted duty.
While on restricted administrative assignment, you will surrender your BSO ID card, any other
symbol of authority, and any BSO issued weapons. In addition, you re precluded from driving any
BSO vehicle. You are prohibited from entering any BSO facility, except where assigned, without he
approval of Internal Affairs.
During this investigation, you may not discuss this Internal Affairs case with anyone except your
attomeyirepresentative and the assigned investigator.
weceneoe oft ep p70 2/2e//¥
cc: Colonel John Dale, Executive Director, Department of Professional Standards
Colonel Jim Polan, Executive Director, Department of Law Enforcement
Major Nathan Osgood, Patrol Region North
Captain Jan Jordan, Parkland District
Human Resources