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1.
Reporter’s contact information
(Required.)
Name
Email Address
Phone Number
*
2.
Suspect’s information
(Required.)
Name
*
Department / Section
Email Address
Phone Number
*
*About the misconduct/ improper activity
Complaint (Briefly describe the misconduct/ improper activity and how you know about
it. Specify what, who, when, where and how. If there is more than one allegation, number
each allegation):
*
3.
What misconduct/ improper activity occurred?
(Required.)
*
4.
Who committed the misconduct/ improper activity?
(Required.)
*
5.
When did it happen and when did you notice it?
(Required.)
*
6.
Where did it happen?
(Required.)
*
7.
Is there any evidence that you could provide us?
(Required.)
*
8.
Are there any other parties involved other than the suspect stated above?
(Required.)
9.
Do you have any other details or information which would assist us in the investigation?
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10.
Any other comments?
(Required.)
Note:
* You SHOULD NOT attempt to obtain evidence for which you do not have a right of access
since whistleblowers are ‘reporting parties’ and NOT ‘investigators’.
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