Public Input
the name, address, telephone number and e-mail address, if any, of the person submitting the information, and the organization s/he is affiliated with, if any;
the full name of the subject of the allegation;
the date(s) the alleged conduct occurred;
a concise statement of facts (or, the source of the information in the event that the person submitting the information does not have first-hand knowledge of the facts);
the law, regulation or rule allegedly violated, if known;
if applicable, name(s) and contact information for any potential witness(es);
if applicable, copies of any documents related to the allegation; and
a signed declaration acknowledging that section 1001 of title 18 United States Code (popularly known as the False Statement Act) applies to the information provided. A copy of the False Statements is available on the OCE's website and can be provided on request.
![](https://webarchive.library.unt.edu/web/20121106193921im_/http://oce.house.gov/mt-static/themes/oce/news.png)
Office of Congressional Ethics
U.S. House of Representatives
P.O. Box 895
Washington, DC 20515-0895
Office Address:
Office of Congressional Ethics
U.S. House of Representatives
425 3rd Street, S.W.
Suite 1110
Washington, DC 20024
P: (202)-225-9739 | F: (202)-226-0997
Hours: Mon. - Fri., 9:00 a.m. - 5:00 p.m.