Fraud Complaint Form

Fraud Complaint Form

Please fill out this form as much as possible.
WorkPlaceFraud.com will not disclose the name or any other identifying information including, but not limited to, phone number, email address, IP address, extension number etc. of the complainant (person reporting suspicious activity/fraud or any other complaint) if known, without the complainants express permission unless required to do so by law
Company:
Date:

Month Day Year
Date
Time:
What happened?
When did it happen?
How is it happening?
How often does it happen?
Is it ongoing?
Where is it happening:?
How much $:
Who do you suspect?
Why are they doing this?
Do you think anyone else is involved?
Who else knows about this?
Has this been previously reported?
To Whom:
When:
What proof do you have/can I find?
Who else can we talk to that may have information about this?
Your complaint will be given to management and their designee(s)

We cannot guarantee what actions management will take regarding this complaint

Your name/phone number/email address etc. will not be disclosed by us

We cannot guarantee that they will not be able to figure out your identity
If yes, enter your name
Can we call/email you with question/follow-up?
If yes, enter your Number or Email:
example@example.com | ***-***-****
If you want updates, you can call us back at (833) 842-0505 between hours of 8AM and 6PM M-F
Report taken by:
Should be Empty: