Report Fraud

IF YOU SUBMITTED AN ONLINE REPORT BETWEEN 1/25/2010 AND 2/6/2010

If you previously submitted a tip online between Monday, January 25, 2010 and Saturday,  February 6, 2010 we ask that you please re-submit your tip as we were having technical difficulties with our system during that time. (Phone and regular mail reports were not affected.)

Use this form to report fraud

1. Identify the type of improper activity you are reporting?	Theft of Municipal ResourcesWaste/Abuse of Municipal ResourcesBribery/CorruptionFalse AccountingConflict of InterestOther
2. Please provide a precise description of the activity you wish to report. Include date(s) and time(s) the incident occurred, the name of the city department(s) wherein you believe the activity is taking place, and the name of the individual(s) whom you believe is involved in the activity.
3. What is the basis of your knowledge regarding these matters?	Witnessed these acts firsthandSuspect these acts occurred based on observationsTold by witness with firsthand knowledgeOther
4. Do you have evidence such as documents, photographs, letters, electronic data, check numbers, purchase order numbers, invoice numbers, license plate or City vehicle numbers, or anything else to substantiate the activity?	4. Do you have evidence such as documents, photographs, letters, electronic data, check numbers, purchase order numbers, invoice numbers, license plate or City vehicle numbers, or anything else to substantiate the activity? Yes No
Please provide as much detail as possible as to the nature of your supporting documentation:
5. May a member of the Office of Internal Audit contact you to discuss your concerns in more detail?	5. May a member of the Office of Internal Audit contact you to discuss your concerns in more detail? Yes No
Name*
Address*
City*
Zip code*
Phone*
Email*
*These fields are optional unless you wish to be contacted by the Office of Internal Audit.
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