This form MUST be completed within 15 days of the discovery of any event of misconduct which is determined to be "FOUNDED" by the agency or department. The Misconduct Report Form, Separation Supplement, and all documentation related to the misconduct must be forwarded to the Criminal Justice Academy’s Certification Unit.
Only events which have been substantiated by investigation have been reported above. The facts & information herein are true & accurate to the best of my knowledge. DO NOT ATTACH, OR SUBMIT, ANY ADDITIONAL DOCUMENTS.
(For any separation involving misconduct as defined in S.C. Code Section 23-23-150, completion of this form is REQUIRED)
The below information is REQUIRED for all separations due to misconduct:
Reason for Separation: (Do not use generic terminology such as conduct unbecoming, failed to meet agency standards, violation of agency operating procedures, etc. Be specific. Detailed information describing act(s) of misconduct is necessary for efficient processing. Attach additional sheets if necessary for full documentation.) DO NOT TYPE “SEE ATTACHED.” USE THIS FORM TO WRITE A DESCRIPTION OF THE ALLEGED MISCONDUCT.
NOTE: A willful failure to report may subject the violator to a civil penalty as provided by law. The report shall be made within fifteen days of the final agency or department action resulting from the internal investigation conducted by the agency or department. No allegation of law enforcement certification misconduct in an original personnel change in status form, amended form, or any other form more than thirty days after the officer's separation from an agency, unless extenuating circumstances exist, as determined by the Council.”