OIG Hotline Submission Form

Would you like to submit this form anonymously?
(A complaint submitted anonymously does not necessarily prevent an investigation from being initiated based on the facts provided, but can hinder the effective resolution of the complaint).
Your Information (not required)
Name

First NameLast Name
E-mail
Address
Address 2
State / Province / Region
City
Postal / Zip Code
Home Phone Number

Area CodePhone Number
Work Phone Number

Area CodePhone Number
Cell Phone Number

Area CodePhone Number
Complaint Information
Where did this incident of waste, fraud, abuse, mismanagement or misconduct affecting jobsites happen?
What date(s) did it happen
What kind of waste, fraud, abuse or violation are you reporting? (check all that apply):
Please summarize what you know about this incident:
Name of company, organization or individual who committed wrongdoing:
Name of any UBC members or employees involved:
Name of General Contractor:
Name of Company:
What exactly did the individual or entity do?:
Location and Floor at which incident occurred:
How do you know this incident occurred?
Do you have any further evidence of this incident? (i.e. documents, photos, e-mails, etc.):
Does anyone else know about this incident?
Name

First NameLast Name
Title
Address
Address 2
City
State / Province / Region
Postal / Zip Code
Phone Number

Area CodePhone Number
How do they know of this incident?
Is there anything else you want to tell us about this incident?
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Your Information (not required)