Whistleblowing

Name: Kope-Medics.com
Price range: £

Confidential Reporting of Concerns

Please use this form to report any concerns regarding unethical or unlawful activities within the organisation. All submissions are treated with the utmost confidentiality. You may remain anonymous if you prefer.

Contact details (Optional)

Name

Incident Details

Date of Incident

Location of Incident

Department/Area Affected

Description of Concern

Supporting Evidence (optional)

Supporting Evidence

Other Information

Do you require a follow-Up?

Follow up selection

Yes, I am happy to be contacted about this matter. No, I prefer to remain anonymous and not be contacted.

Acknowledgement

By submitting this form, I confirm that the information provided is accurate to the best of my knowledge and I understand this report will be treated with confidentiality.

By submitting this form, you agree to our privacy policy

Whistleblowing

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