Sistema de Denuncias by EthicsGlobal

Relationship with the Company

Employee Supervisor Supplier Contractor Ex-employee Citizen Other

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Reporter Category (or affiliation)

Grant Recipient Municipality State Agency Private not for profit Recipient of Federal Funding Concerned Citizen

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How did you become aware of the potential issue?

Would you like to remain anonymous? Individuals that request anonymity will remain confidential

No Yes

May we contact you for additional information or to follow-up on this report?

Yes No

Contact email

Contact phone

Name or alias

Please provide the location where the incident occurred, including the physical address and indoor location. If the incident did not occur in a specific location, please provide additional details

Is this action still on-going?

Yes No

2.3 Incident date or date of first knowledge of activity

Were you present when the incident occurred

Yes No Other

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Select the type of complaint you are reporting

Financial Workforce Operations

Financial

Falsification of contracts, reports, or records.:: Alteration or falsification of official documents.:: Fraud.:: Inappropriate use of assets.:: Money laundering.:: Mishandling of Funds.:: Theft of assets.:: Corruption.:: Counterfeit operations and payments.:: Kickbacks.:: Hiring, remuneration or compensation without authorization.:: Purchasing or acquisition of products and/or services due to personal relationships.:: Others. ::

Workforce

Discrimination.:: Conflict of Interest/Commitment.:: Illegal Interest in a Contract.:: Improper Giving or Receiving of Gifts.:: Employee Benefit Abuses.:: Nepotism.:: Threats.:: Intimidation or extortion.:: Hiring, remuneration, compensation or promotion of a person due to a personal relationship.:: Time Abuse.:: Other.::

Operations

Abuse of Authority.:: Deception of an auditor or government official.:: Environmental Damage.:: Sabotage or Vandalism.:: Data Privacy and Integrity.:: Inappropriate Use of Technology.:: Intellectual Property Infringement.:: Other.::

Please provide a detailed overview of the complaint (include, what occurred, the name(s) of person(s) or company involved, names of other witnesses, etc).

Are there any corroborating witnesses?

If there are corroborating witnesses, please provide their names.

WHO ELSE IS AWARE OF THE ISSUE? MENTION ANY PERSON WHO MIGHT KNOW THE FACTS.

IF YOU HAVE ANY SUPPORT OR EVIDENCE, ATTACH IT HERE.

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3.7 TELL US IF YOU KNOW (OR SUSPECT) WHERE MORE EVIDENCE OF THE SITUATION CAN BE FOUND.

Asunto de la denuncia

IS THIS THE FIRST TIME YOU HAVE USED THIS SERVICE? (YES/NO)

HOW DID YOU HEAR ABOUT THIS SERVICE?

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