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            Complaint Form 
  GPO Home Inspector General
 Report Fraud, Waste and Abuse
                        
                    
                        Overview
                        
                    
                        OIG Leadership
                        
                    
                        Investigations
                        
                    
                        Audits
                        
                    
                        Inspections
                        
                    
                        Semiannual Reports to Congress
                        
                    
                        Plans and Reports
                        
                    
                        Recommendations
                        
                    
                        Whistleblower Protection Program
                        
                    
                        FAQs about the OIG
 Stay Informed - New OIG Reports Report Fraud, Waste, and Abuse
 **Complaint Form**
 If you are experiencing or have knowledge of a health or safety emergency involving immediate danger or physical harm, call 911 or your local law enforcement authority. First Name
 Last Name
 Street Address
 City
 State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming
 Zip Code
 Email
 Telephone Number
 Alternate Telephone Number
 Employer
 Anonymity – GPO OIG will accept and review anonymous complaints; however, such complaints may be more difficult for us to thoroughly review and/or resolve as we are not able to clarify initial reports or obtain follow-up information if deemed necessary. If you are a GPO employee, please specify your business unit
 Are you covered by the GPO Master Labor-Management Agreement? Yes  No  I do not know
 Are you willing to waive your confidentiality in the event your complaint is referred to GPO management for resolution? Yes  No
 What type of fraud, waste, abuse, and/or mismanagement are you reporting (check all that apply)? Procurement and/or Contract FraudIllegal GamblingWorkers’ Compensation FraudMisuse of Government Funds and/or PropertyTheftEmployee MisconductIllegal Drug Possession and/or UseOther (please specify):
 Who committed the alleged fraud, waste, abuse, and/or mismanagement?
 When did the alleged fraud, waste, abuse, and/or mismanagement occur?
 Where did the alleged fraud, waste, abuse, and/or mismanagement occur?
 How did the alleged fraud, waste, abuse, and/or mismanagement occur?
 Identify by name and title, if possible, other individuals who may have knowledge of the alleged fraud, waste, abuse, and/or mismanagement.
 What evidence, including documents and emails, do you possess or know of that supports your allegation(s) of fraud, waste, abuse,
and/or mismanagement?
 Has this matter been appealed, grieved, or reported under another procedure, such as the Equal Employment Opportunity (EEO),
Office of Special Counsel (OSC), or union processes? Yes (explain below)  No
 On what date(s) did you elect another procedure?
 What is the status of the other procedure(s) (i.e. pending, closed)?
 Is there any other information you would like to provide the OIG regarding this complaint?
 Are you willing to be interviewed (check the appropriate box)? Yes  No
 I consent to GPO OIG disclosing my identity outside of GPO OIG for official purposes in investigating this allegation and seeking appropriate action and/or resolution Yes  No
 
 By checking this box, I certify that the information contained in this complaint form is truthful to the best of my knowledge. Furthermore,
I made this complaint freely and voluntarily, without any threats or rewards, or promises of reward having been made to me in return for it.
 Submit
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