Enter Date
Enter Name of Alleged Perpetrator
Enter Street Address or PO Box of Alleged Perpetrator
Enter City, State, Zip of Alleged Perpetrator
FINDINGS OF ADMINISTRATIVE REVIEW (SCHOOL EMPLOYEES)
Re: Case Number Enter Case Number Alleged perpetrator’s name Enter Name of Alleged Perpetrator
Alleged perpetrator’s Date of Birth Enter Date of Birth of Alleged Perpetrator
Alleged perpetrator’s school district Enter School District of Alleged Perpetrator
Alleged perpetrator’s school Enter School of Alleged Perpetrator
Dear Sir or Madam:
This is to inform you that an Administrative Review of the Investigation Findings has occurred regarding the Enter Valid or Confirmed findings in this case. As a result, we have the findings involving Enter Name of Victim of which we originally notified you.
The prior findings were as follows:
Alleg/Desig/Victim Enter Name of Victim |
Allegation Enter Allegation |
Disposition Enter Original Finding |
The current findings are as follows:
Alleg/Desig/Victim Enter Name of Victim |
Allegation Enter Allegation |
Disposition Enter New Finding |
Evidentiary basis for the current findings:
Enter all relevant information from the administrative review that led to the new or upheld finding
If you should have any questions, please do not hesitate to contact me at Enter Phone Number of Signatory.
Sincerely,
Enter Name of Signatory
Enter Title of Signatory
Adult Protective Services
ENTER TEXT HERE COCOA PUFFS ZEE ZEE GRAHAMS APPLESAUCE
OPTION AGREEMENT THIS OPTION AGREEMENT (“AGREEMENT”) MADE ENTER DATE
RCI UTILIZERS REQUEST FORM BCBS GROUP NUMBER(S) ENTER BCBS
Tags: enter date, signatory enter, enter, date, perpetrator, street, alleged