Clugston Polygraph & Investigative Services
616 South Main Street
Suite 311
Tulsa, Oklahoma 74119
918-622-7008
This is a sample of the the written notification that must be given to an employee prior to polygraph testing.
To
be printed on
Employer’s letterhead
To:
Date:
You
are hereby requested to submit to a psychophysiological veracity (PV)
examination using the polygraph on (Date) _________________ at (Time)
_________ with Roy L. Clugston, Clugston Polygraph and Investigative
Services, 616 South Main Street, Suite 311, Tulsa, Oklahoma, 74119, (918)
232-6312. Please be advised
that you have forty-eight hours, excluding weekend days and holidays, in
which to consult with an attorney or employee representative before the
scheduled examination. You
also have the right to consult with legal counsel or an employee
representative before each phase of the PV (polygraph) examination.
However, your attorney or employee representative may be excluded
from the room where the examination is administered during the actual
testing phase.
This test is administered in connection with an ongoing investigation involving
|
|
You had access to the property, money, merchandises (circle) that is the subject of this investigation because:
(describe with detail the employee’s access)
|
|
We have reasonable suspicion of you involvement in the above described incident, based on the following:
(describe with detail the basis for reasonable suspicion)
|
|
| _________________________________ |
___________________________ |
| Signed
by Employee at time letter received |
Employer’s Representative |
| _________________________________ | |
| Time & Date of receipt of this letter by employee |
Fax executed copy to Clugston Polygraph and Investigative services (918) 583-4449
(Requires Adobe Acrobat Reader)
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