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| Fraud,
Waste and Abuse Reporting Form |
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Complainant Contact Information:
* Required
Information:
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First Name:
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Middle Name
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Last Name
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Street
Address:
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City:
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State
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Zip Code:
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Phone Number:
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Email Address
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Complaint Information:
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* Name of individual(s) suspected of fraud, waste, or abuse:
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* Campus/Department involved in the
suspected fraud, waste or abuse:
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* Description of the suspected
fraud, waste or abuse:
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Location of any evidence or records that might support the
allegation:
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Names of witnesses or others who may have knowledge of the
allegation:
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JISD Privacy Statement
There are instances where you may elect to provide us with personal information through the JISD website. Completing one of our feedback or request forms or sending us an email, will transmit the personal information you provide in the email or form. This will typically include information like your name, mailing address, email address, the kind of request you are making, and any other information necessary to fulfill your request. This information is only used internally to complete the request or for contacting you directly, and is not given or sold to any other organization.
We hope you find our website useful and informative and are always willing to answer questions and receive suggestions. If you have either, please e-mail the webmaster at
. Thank you. |
