Compliance

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  • Suspected Violation Report

    The Penalty for any employee who knowingly or willfully provides false information to the Office of Integrity and Compliance whether provide in writing, telephone, e-mail, personally, or otherwise, is termination.

     

    Please complete as much of the information below as possible. Incomplete information may not allow for a review into your report.

    Please list the Department(s) Suspected:

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    3.

    Name of anyone else with knowledge of the suspicion:

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    2.
    3.

    Please list the Employee(s) Suspected:

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    2.
    3.

    Are you aware if documentation exists to support the suspicion:

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    Please provide a detailed description of the suspected conduct. Include date(s) and location(s) of incident(s) whenever possible:

    The following information is completely optional. Any information you give below is strictly confidential.

    Name:
    Address:
    City:
    State:
    Zip Code:-
    Phone:()--
    E-mail: