CITY AUDITOR'S FRAUD ALLEGATION FORM

CITY AUDITOR'S FRAUD ALLEGATION FORM
Date

MonthDayYear
Date
Please provide details of the incident in which you believe fraud, waste or abused was involved.
Please provide dates and locations:
Please list the names of the person or persons, as well as the department in which they work:
Please describe any evidence you have with as much detail as possible, including relevant ID numbers, such as vehicle tag # or vehicle make/model
If available, please upload any photographic evidence. Accepted file types include jpg, jpeg, JPG, png and PNG.

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The following section is optional, but we encourage you to provide this information in the event we have additional question or need additional information. If you do not provide your contact information and observe the fraud, waste or abuse continuing, please contact our office, as it likely we did not have adequate information to resolve the issue.
Full Name

First NameLast Name
Phone Number

Area CodePhone Number
Email
example@example.com
Would you prefer to remain anonymous?

YesNo
Please verify that you are human*
Should be Empty: