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City Auditor Integrity Unit
FRAUD, WASTE, OR ABUSE ALLEGATION


1.  Briefly describe the EVENTS or circumstances that you believe represents fraud, waste or abuse.
     
 
2.  These events occurred on (enter DATE or DATES) at (enter the LOCATION).
     
 
3.  List the NAMES of other persons who can support your description of events or provide other information about these circumstances.
     
 
4.  Name of the PERSON or PERSONS who you believe acted wrongly or inappropriately and the City DEPARTMENT(S) where these individuals work.
     
 
5.  These events or circumstances could represent a violation of (check all that apply):
City Policy City Ordinance
City Charter State Regulation/Law
Federal Regulation/Law Other
          Other Specifics:  
 

 
HOW CAN WE CONTACT YOU? This information is optional. If you prefer to NOT give us your contact information, it will be your responsibility to contact us frequently in case we have additional questions or need additional information.
 
Name:   
Phone:  
E-mail:  
 
Would you prefer to remain anonymous? Yes  No
 
  


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