Whistleblowing

Date

Data of the person reporting the violation

Name, surname *

Personal number *

Place of employment *

Position *

Telephone number

Personal e-mail or place of residence

Information on the violation

What violation are you reporting? What kind of violation is it? *

Who committed this violation? What could have been the person’s motives for committing the violation? *

Place and time of the violation. *

Data of the person or persons who committed the violation

Name, surname *

Place of employment *

Position *

Are there other people who were involved or could have been involved in the violation? If so, please specify who they are. *

Are there other witnesses of the violation? If there are, provide their contact details. *

Data of witness or witnesses of the violation

Name, surname *

Place of employment *

Position *

Telephone number

E-mail

When was the violation committed and when did you learn about it or notice it? *

What supporting data could you provide to facilitate the investigation of the violation? Please provide attached written or other details of the violation. *

Have you already reported this violation to anyone? If you have, to whom was it reported and did you receive a reply? If you have received a reply, please indicate the essence of the reply. *

Additional notes and comments. *

Attachments

* - Required fields

Whistleblowing

Date

Data of the person reporting the violation

Information on the violation

Data of the person or persons who committed the violation

Data of witness or witnesses of the violation

Attachments

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