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Product Tampering or alteration Improper booking/accounting of sales revenue or expenses Intentional misstatement of accounting records Bribery Kickbacks Theft or Fraud Inaccurate creation, reporting or falsification of Company business and financial records, or regulatory submissions Unsafe work practices Discrimination or sexual harassment Collusion with competitors Accepting or giving impermissible gifts Workplace violence Misuse of intellectual property rights Workplace impairment due to the consumption of alcohol or drugs Retaliation against someone for raising an issue If area of concern is not listed, please add here Please identify the person(s) engaged in this behaviour. * Example: John Doe, Business Manager Do you suspect or know that a supervisor or management is involved? Yes No Don't know or Don't wish to disclose If Yes, Please list the names below Is Management aware of this problem? Yes No Don't know Do Not wish to disclose Please give a general description of this matter Where did this incident or violation occur? NOTE; We understand that this incident may not have occurred in a particular location. However, if this incident was observed in some documentation or business transaction, please indicate this accordingly. Please provide the specific or approximate time this incident occurred: How long do you think this problem has been going on? * Once One Week 1-3 Months 3 months to a year More than a year Don't know How did you become aware of this violation/issue? It happened to me I observed it I heard it Told to me by a co-worker Told to me by someone outside the company Overheard it Accidently found a document or file Other If "Other" Please explain Please identify any persons who have attempted to conceal this problem and any steps they took to conceal it: If you have a document or file that supports your report, please upload it Click here to select file Uploading… (0%) Browse This is invalid This file size is too big Please provide any other details regarding the alleged issue/violation, including the locations of witnesses and any other information that could be valuable in the evaluation and ultimate resolution of this situation.
