1. Name and surname

2. Email

3. Telephone number

* If you wish to remain anonymous, enter XX instead of your first and last name and use an anonymous email address. Please note, if you do not provide us with any contact information (email or telephone number), you will not be able to obtain any additional information necessary for the successful processing of the case and you will not be able to be informed about its outcome.

4. Have you received any specific information about anti-social activities related to the performance of your work?
yesno

5. Identify the name of the employer or company and the person responsible for the illegal activities.

6. Describe a specific anti-social activity, you would like to report
*It is an anti-social activity that threats or violates the public interest. It can generally harm a large group of people. It could be a crime, an offense, or an administrative offense. It does not include labour disputes among individuals (ex. bullying) or private disputes among citizens.

7. Do you have any evidence/testimonials that may support your claims?
*email communication, paper evidence, a testimony of a colleague
yesno

8. Have you reported this case through your organization´s internal system?
*If yes, please describe the result of the investigation of your file.

9. Has your employer retaliated against you in connection with the report?
*If yes, please describe it. Also, indicate whether you are requesting protection or support.

10. Have you already contacted the police, prosecutor's office, or another state office?
*If yes, please specify it.

11. What do you expect from our office? Try to describe your expectations as specific as possible.

12. Do you agree with this content being made available to other people following the provisions of the Act on Free Access to Information?
*If anyone requests information about your file or its content, our office will only provide it with your consent.
ánonie

13. How did you hear about us?