Whistleblowing reporting form

It is recommended that you attach all documentation that you believe may be useful in corroborating the Report; if the Report is made verbally, such documentation may be delivered directly.

Name

Last name

Structure and qualifications

Preferred contact channels (e.g., private email address, telephone number, etc.)

Does the Reporting Person have a personal interest related to the Report?

Yes

Is the reporting person jointly responsible for the violations he or she reports?

Yes

Period/Date in which the incident occurred

Area of company operations to which the incident may relate

Parties involved: (Inside/Outside)

Description of the fact being reported

Other subjects who can report on the facts that are the subject of the Report. (Inside/Outside tef bridge)

Other parties to whom the Report of the Incident was forwarded?

Yes

Attached documentation to corroborate the Report (Max 7MB: PDF,JPG,PNG,DOC,DOCX)

Choose File to Upload

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Organization Model D. Lgs. 231/2001

Whistleblowing