Anonymous Tip Reporting Form
Information below is Anonymous & Confidential - Form summary will be sent to the company contact. To report via text or voicemail please contact 214-427-4363.
Company or employer name
*
Type of concern
*
Please Select
Harassment
Discrimination
Safety concern
Wage or timekeeping issue
Theft or fraud
Substance abuse
Workplace violence or threats
Supervisor or management concern
Policy violation
Other
What happened?
*
Location, Department, Work area, and/or Name of the person involved
*
Please describe the concern in as much detail as possible.
Were there witnesses?
*
Yes
No
Witness name(s), if known
Is anyone in immediate danger?
*
Yes
No
Unsure
If anyone is in immediate danger or requires emergency assistance, call 911. Do not use this form for emergencies.
Supporting evidence
Upload a File
Drag and drop files here
Choose a file
Photos, screenshots, documents, emails, and other files.
Cancel
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I understand that the information provided should be truthful and as accurate as possible. I understand that submitting this report does not replace calling 911 during an emergency.
*
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Approximate time
Hour Minutes
AM
PM
AM/PM Option
Is this still happening?
*
Please Select
Yes
No
Unsure
Do you want to be contacted?
Yes
No
Provide contact information
Submit
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