Ethics Hotline & Whistleblower Reporting Form

Welcome to TopLeft's Ethics Hotline & Whistleblower reporting form. At TopLeft, we are committed to maintaining the highest ethical standards. This confidential platform is designed for you to raise concerns, report potential violations, and contribute to a culture of transparency and integrity within our organization. Your submissions are essential in helping us identify and address issues that may compromise our ethical principles. This page is private and confidential. None of your information will be disclosed. We offer the option to report the situation anonymously, you are not required to provide your name and email. If you would like us to call you back, please write these in the comment section. In order for us to be able to help you as quickly as possible with the situation that concerns you, please fill in the following fields with as much detail as possible. Please know that we take every situation very seriously and will deal with yours promptly. Thank you for your dedication to ethical conduct, and for playing a crucial role in safeguarding our values and reputation.

Please note this is not an emergency service. Contact your local authorities if this is a life-threatening issue.

What is your relationship to TopLeft?

You have the ability to remain anonymous; however, this could impact TopLeft’s ability to conduct an effective investigation. If you would like to provide your name to help the investigation process, please provide that information now.

Do you wish to remain ANONYMOUS for this report?*

Yes, I would like to remain AnonymousNo, I would like to share my identity with TopLeft's Privacy Officer to aid in the investigation

If you want TopLeft to know your identity and to have the ability to contact you directly, please complete the following:

Name

First NameLast Name

Email

example@example.com

Phone Number

Please enter a valid phone number.

Subject of Complaint (If Applicable)

Please explain in detail the Nature of Concern/Violation*

How did you become aware of this matter?*

If other, how did you become aware of this matter?

Has anyone attempted to conceal this problem? Please identify the person and steps they took to conceal it.*

Please identify by name and title.

Please provide all details regarding the alleged violation, including the locations of witnesses and any other information that could be valuable in the evaluation and ultimate resolution of this situation.

Please upload if there are any documents, materials, voice/video records, or other evidence which support your allegations.

I, undersigned, agree with the following statement

I affirm that the facts set forth in this complaint are true and correct to the best of my knowledge and belief.

Date

Please verify that you are human*

Ethics Hotline & Whistleblower Reporting Form

Report Details