OIG Hotline Confidential Report | Office of Inspector General OIG

Disclosure Election

Consent to Disclosure: I consent to disclosure of my identity outside the OIG on a need-to-know basis.

Non-Consent to Disclosure (Confidential): I do NOT consent to disclosure of my identity outside the OIG.

Anonymous: I am NOT providing my identity.

Name

Organization

Phone

Address

City/Town

State/Province

ZIP/Postal Code

Contact Type

What Fraud, Waste, or Abuse issue(s) would you like to report?

Who was involved (be specific), and what did they do?

Who else might have knowledge that this FW&A issue occurred (list names / contact of witnesses)?

How do you know this to be true? is your knowledge first-hand or did you hear it from someone else?

When did this occur?

What would you like the IG to do?

May we contact you?

Yes

Certification

I certify that all the statements made in this complaint are true, complete, and correct to the best of my knowledge. I understand that a false statement or concealment of a material fact is a criminal offense (18 U.S.C. § 1001).