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Fraud Reporting Form

INSTRUCTIONS: Fill out the form below with details of your concern. If you wish to remain anonymous, leave the contact information blank. However, by including either a phone number or email address, the investigator will be able to contact you should there be any follow-up questions.

 
If you've lodged this concern previously, with what agency did you file the concern?
 
* Describe your concern.
 
* Name of the PERSON or PERSONS who you believe acted wrongly or inappropriately and/or the City DEPARTMENT(S) where you identified the issue.*
 
Date this occurred (if ongoing or multiple dates, please enter in the box below)  
Date Other
 
HOW CAN WE CONTACT YOU? This information is optional. If you prefer to NOT give us your contact information, we will still investigate, however we will not contact you with the result of the review.
Name 
Phone 
E-mail 
* Would you prefer to remain anonymous?