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OIG Hotline Form

In all cases, when contacting the Hotline, please provide as much detail as possible about who, why, when, what, where, how, or how much. Although it is not necessary, you may provide your name and address if you wish. Your e-mail address will not be displayed when you submit this form, and OIG will not attempt to identify you if you wish to remain anonymous.

Summary of Information:

Who is involved? Please provide the name of the NRC employee or contractor involved, their position, function, and location of assignment (city/state).

Would you like to remain anonymous? (If yes, do not identify yourself below.)
No
Yes

Are you willing to be interviewed?
No
Yes

Your Name (Last, First MI):

Mailing Address:

City: State:

ZIP/Postal Code:

Organization Name:

Home Telephone Number:

Work Telephone Number:

E-mail Address:

Note: Submitting this information is voluntary. Your submission consents to its use as set forth in NRC's Privacy Policy.

   



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Friday, September 28, 2007