Screen Reader Mode Icon Check SCREEN READER MODE to make this survey compatible with screen readers. Thank you for your valuable feedback! Question Title * 1. Reporter’s contact information Name Email Address Phone Number OK Question Title * 2. Suspect’s information Name * Department / Section Email Address Phone Number * OK *About the misconduct/ improper activityComplaint (Briefly describe the misconduct/ improper activity and how you know aboutit. Specify what, who, when, where and how. If there is more than one allegation, numbereach allegation): OK Question Title * 3. What misconduct/ improper activity occurred? OK Question Title * 4. Who committed the misconduct/ improper activity? OK Question Title * 5. When did it happen and when did you notice it? OK Question Title * 6. Where did it happen? OK Question Title * 7. Is there any evidence that you could provide us? OK Question Title * 8. Are there any other parties involved other than the suspect stated above? OK Question Title * 9. Do you have any other details or information which would assist us in the investigation? OK Question Title * 10. Any other comments? OK Note: * You SHOULD NOT attempt to obtain evidence for which you do not have a right of accesssince whistleblowers are ‘reporting parties’ and NOT ‘investigators’. OK DONE