State of Wisconsin Department of Administration Division of Personnel Management DOA-15807-D (R9/2020) § 230.34 & § 111.80, Wis. Stats.	CASE NUMBER (If applicable): [Case Number]
EMPLOYEE INVESTIGATION REPORTS SUMMARY OF INVESTIGATION FINDINGS
INVESTIGATOR INSTRUCTIONS:	Summarize the findings and conclusions of the investigation. Attach all supporting documentation.
SUBJECT OF INVESTIGATION (Last Name, First Name, M.I.)	JOB TITLE OR CLASSIFICATION	INCIDENT DATE
SUMMARY OF CONDUCT (Report facts only – no opinions or recommendations)
POTENTIAL WORK RULE(S) VIOLATED
WORK RULE #	WORK RULE AND SUPPORTING SPECIFIC FACTUAL INFORMATION/ DOCUMENTATION
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POTENTIAL SERIOUS MISCONDUCT
SERIOUS MISCONDUCT #	SERIOUS MISCONDUCT
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POTENTIAL POLICY(IES) VIOLATED
POLICY #	POLICY
COMMENTS