OIG Hotline Form

First Name:

Last Name:

MIddle Initial:

Phone:

Email:

How do you wish to be identified:

Anonymous

Confidential Source

No Restriction

What is your association with the National Endowment for the Humanities:

Please comment.:

Date(s) of the alleged misconduct or wrongdoing:

Name(s) of the organizational component and individuals involved:

Please list names of witnesses, their telephone numbers and email addresses:

Please describe the alleged misconduct/wrongdoing:

(include anything that the individual may have done to avoid discovery or detection)

Please describe the specific policies or regulations that relate to the alleged misconduct/wrongdoing, if known :

(This information is not required to submit your allegation.)

Where did the alleged misconduct / wrongdoing take place:

Did you inform your supervisor or anyone else about this matter:

Yes

No

What is the nature of your allegation:

Please elaborate.:

Please identify / describe any existing documentation that supports your allegation. :

(Please be advised that you are not expected to secure documentation for the express purpose of transmitting such documentation to the NEH-OIG.):

Please describe your desired remedy/resolution:

Please provide any additional details concerning the alleged misconduct in the space provided below. :

(Additional details would greatly facilitate the planning / execution of the investigation.)

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