Hotline Online Form

*CONFIDENTIALITY STATUS: (Choose only ONE block which applies to you.)

I DO want to provide my name and I approve use of my identity for official use in resolution of my complaint.
I DO want to provide my name but wish to remain anonymous.
I DO NOT wish to provide my name and I want to remain anonymous. *

Name: (First, Middle, Last, Suffix) or Anonymous:

First

Middle

Last

Suffix

Grade and Rank

Status (Active, Reserve, Guard, Civ):

Job Title and Organization:

Enter date you became aware of issue(s)

Home Telephone:

Cell Telephone:

Work Telephone:

Email Address

Please contact me by (select one)

Phone
Email

Best time of day to contact me:

Have you asked your immediate supervisor for assistance with this issue?

Yes
No

Have you filed this complaint with Congress, EEO, or another OIG?:

Yes
No

If yes, please enter which agency:

When did the issue occur?:

*

Where did the issue occur?:

*

Who took the action(s) at issue (e.g., Mr. Smith, Mr. Jones, etc.)?:

*

What did the person (or people) in question c. do ( e.g., gave a letter of reprimand, wasted resources, etc.)?:

*

To whom did the action(s) happen (e.g., me, Ms. Doe, Mr. Harris, etc.)?:

*

What law, regulation or policy was violated (e.g., DCAAI 5015.2, 10 U.S.C., etc.)?:

*

What remedy is being sought?:

*

Names and positions of witnesses (Or others who have knowledge of your allegations):

*

I certify that all of the statements made in this complaint are true, complete, and correct to the best of my knowledge and belief. I understand that a false statement or concealment of a material fact is a criminal offense punishable under 18 U.S.C. Section 1001, I may be fined under this title, imprisoned not more than 5 years (if the offense involves international or domestic terrorism (as defined in section 2331) imprisoned not more than 8 years) or both.