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American Recovery and Reinvestment Act

Complaint Form

First Name:   Last Name:  
Home Address:    E-Mail Address:  
City:   State:  
Zip Code:   Telephone:  

Your contact information is important to us so that we can fully evaluate your complaint. Once completed, this form will be considered public record unless one of a limited number of specific exemptions applies.  Please complete all questions to the best of your ability.

WHO are you reporting?

 

WHO is/was involved in this activity?                                                                                                                   

 

WHAT specifically did this person or company do, that you think might be against the law, state policy or agency procedure?

 WHAT violation specifically, do you believe has occurred?

 

WHERE did the activity occur?

 

WHAT is the project number, contract number or similar identifier?

 

WHEN did this misconduct or illegal activity take place? If it is not a one-time event, when did you first notice it and has it stopped yet?

 

HOW did this actually get carried out? How was it possible?

 

WHO else is aware of this activity? (Please give phone numbers or other contact information for each individual).

 

WHAT other agencies have been notified of this matter?

 

WHY do you believe the person(s) did this? Was there personal gain for them as a result of committing this act?

 

 

 

Your complaint will be reviewed and assessed upon receipt and someone in either the Agency Inspector General’s Office or the Chief Inspector General’s Office will respond to you.