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Whistleblowing Report

Confidentiality of information is ensured. CHI shall treat all reports, including the identity of the Whistleblower and the respondent, in a confidential and sensitive manner. The identity of whistleblower is kept confidential, unless compelled by law to be revealed.
In order for CHI to determine whether there is an adequate cause for an investigation, please provide CHI with much evidence as possible to corroborate the allegation(s) such as documents, witnesses, and other specific and relevant information.
Description of Complaint
Please give a brief description of the improper activity and how you know about it. Specify who, what, when, where and how. If reporting multiple instances and complaints, please number each allegation.
Please attach supporting documentation or a copy of evidence you already have in possession. Please do not attempt to secure evidence for purposes of this report. Please inform how the investigator can be able to obtain or locate these supporting documents. (zip file, maximum of 10mb)
Suspect's Information
Please provide information on suspect.
Reporter's Contact Information
You are not required to identify yourself. If you wish to have your identity known, please provide CHI sufficient information to contact you.
Witness(es) to Wrongdoing
Please provide witness that can confirm your allegation.
I affirm that I have read the above charge and that it is true to the best of my knowledge, information and belief.
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