OIG Hotline Submission Form

Employees of the U.S. Department of State and the Broadcasting Board of Governors (including current employees, locally-employed staff, and contract employees) are automatically granted confidentiality on any complaints made to OIG. If you choose to remain confidential, this may limit our ability to ensure proper handling and disposition of this matter and may result in closure due to insufficient information.

 

*Are you willing to waive your confidentiality in the event that your complaint is referred to Department of State/Broadcasting Board of Governors management for resolution?

 

Your Information (not required)

Where did this incident of waste, fraud or abuse happen?

What date(s) did it happen?

What kind of waste, fraud, or abuse are you reporting?
(check all that apply):
False Statements/Claims
Contract/Procurement Fraud
Embezzlement/Theft
Visa Passport Fraud
Conflict of Interest/Ethics Violations
Employee Misconduct
Other

 

Please summarize what you know about this incident:

Name of company or individual responsible for this incident:

Individual's title, if applicable:

Company or individual's address:

Company or individual's phone number:

How do you know this incident occurred?

Do you have any further evidence of this incident? (i.e. documents, photos, e-mails, etc.):

Name:
Title:
Address:
Phone number:
How do they know of this incident?

Is there anything else you want to tell us about this incident?

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