Confidential Incident Report
Open lines of communication are an essential component of fraud, waste and abuse prevention. In order to encourage apprehensive staff members to come forward with suggestions, or with reports of violations and errors, we have created an anonymous form to report these concerns to management. The form may be submitted anonymously by filling out below or printing. Or, you may print a copy and turn it in directly in person to the Compliance Officer or a Compliance Committee member. Click the link below to print a form to fill out manually, or simply fill out the electronic form below. It will be submitted to management anonymously unless you add your name.