Whistleblower Hotline Online Report

Your report will be confidential, however please be advised that your Internet address and message to the Whistleblower Hotline which is submitted via this secure website may not be confidential because of the inherent openness of the Internet. If you have nothing to enter in a required field, enter “N/A”.

How do you wish to be identified?

-- Select Contact Status -- Anonymous Confidential No Restriction *

NOTE: Confidentiality may not be maintained if reported information results in criminal prosecution. If you chose to be identified anonymously, you do not need to supply additional contact information.

Name

Email address

Work Phone

Home or Primary Phone

Address

Are you a County employee?

-- Select Yes/No -- Yes No *

Special instructions to contact you during business hours

Allegation Classification (select all that apply)

Fraud (Unethical activity by Santa Cruz county government employees, residents, vendors, or contractors.)

Fraud: Theft

Fraud: Bribery

Fraud: Kickbacks

Fraud: Embezzlement

Waste (Misuse of County resource, property or time by employees, residents, vendors, or contractors.)

Waste: Theft of county assets (cash, equipment, supplies)

Waste: Personal use of county assets (cash, equipment, supplies)

Abuse (Significant violations of County policy.)

Abuse: Discrepancies with personnel, Payroll, accounts payable, or accounts receivable

Abuse: Conflict of interest involving county employees, contractors, or vendors

None of the Above

None of the above, which may be outside the scope of the hotline.

Frequency of Allegation

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Date and Time of Allegation

*

Locations / Address of Allegation

*

Department(s) Involved

*

Number of Individuals - Who committed the alleged wrongdoing?

Select Number Unknown 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 *

Enter the details of individuals involved

Description of allegation

*

Please describe how you became aware of the situation

*

Have you reported this allegation anywhere else?

-- Select Yes/No -- Yes No *

Do you have any documents available regarding this report?

-- Select Yes/No -- Yes No

*

Submit