Compliance

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Report Suspected Compliance Violation

The penalty for any employee who knowingly or willfully provides false information to the Office of Integrity and Compliance whether in writing, telephone, email, 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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Name of anyone else with knowledge of the suspicion:

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Please list the Employee(s) Suspected:

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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: