State of Wisconsin Department of Administration Division of Personnel Management DOA-15807-F (R9/2020) § 230.34 & § 111.80, Wis. Stats.	CASE NUMBER (If applicable): [Case Number]
EMPLOYEE INVESTIGATION REPORTS FINAL CONCLUSION
INSTRUCTIONS:	To be completed by Human Resources staff. Provide the final conclusion below. Attach all supporting documentation.
SUBJECT OF INVESTIGATION (Last Name, First Name, M.I.)	JOB TITLE OR CLASSIFICATION	INCIDENT DATE(s)
PRIOR DISCIPLINES AND / OR NOTICE (job instruction, Letter of Expectation, etc.)
Effective Date	Description & work rules (if applicable)	Disposition
DESCRIPTION OF FINAL CONCLUSION:
COMPLETED BY:	DATE: