VAOIG: Hotline - ARRA Reporting Form

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For information about this form please visit our American Recovery and Reinvestment Act of 2009 (ARRA) Stimulus Reporting information page.

Your Contact Information

First Name:
Last Name:
Title:
Address1:
Address2:
City:
State:
Postal or Zip Code:
Telephone:
Email:

Report Content

The following fields must be completed in order to process your report.

State how you learned of the incident you are reporting*:

Provide the VA facility or Program Office involved in the incident*:

Identify the products and/or services involved in the incident*:

Explain whether the conduct involves criminal activity, civil fraud, and/or overpayments*:

Please include a detailed description of the facts and circumstances surrounding the reported activities, including the evidence forming the basis of this report, the names of the individuals involved, dates, location, how the matter was discovered, potential witness(es) and their involvement*:

U.S. Department of Veterans Affairs · Office Of Inspector General Hotline - ARRA Reporting Form

Your Contact Information

Report Content

U.S. Department of Veterans Affairs · Office Of Inspector General
Hotline - ARRA Reporting Form