Employees are encouraged to report concerns relating to accounting, auditing, internal controls, financial reporting, misappropriations, or any other form of financial misconduct, dishonesty or fraud.

Company or organization about which you are reporting:
Your location - Division/Branch:
Information regarding the incident(s) you are reporting.
Please be as specific as possible and answer as many of the following questions as you can:
  • Are you an employee?
  • What is the wrongful behavior?
  • When and where did it occur?
  • How many times has the incident occurred? Over what time period?
  • Is it still happening?
  • Who is engaged in this behavior? What department/branch do they work in?
  • Have you or someone else reported the incident before now? If so, to whom?
  • How did you become aware of the incident?
  • What action would you like seen taken?
  • Do you have supporting documentation or examples that you would be willing to send us a copy?


Please indicate the following choice with an "X":

I wish to remain completely confidential and anonymous and will not disclose my identity.*

I would like this submission to be kept confidential, but I will disclose my identity.

I seek neither anonymity nor confidentiality.


Remember: The contact information you provide is for H & P use only in order that we may obtain as much detail as possible

 
Name:
Preferred Phone:
Preferred Email:
Best Day & Time to Call:
Alternate Phone:
Alternate Email:
 

 

© Copyright Henry & Peters, P.C. Certified Public Accountants. All Rights Reserved. Site designed by MediaQuest.