Hotline Form

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(Contact Information Optional)
In the event you choose to remain anonymous and additional information is needed to conduct a thorough investigation, your complaint may not receive a thorough investigation or may not be investigated due to lack of information and no point of contact to request needed additional information.

First Name:

Last Name:

Email:

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Office Phone Number

Are you willing to be interviewed:

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Subject:

Complaint (Required):

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What other action has been taken regarding this complaint:

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PRIVACY ACT STATEMENT

Authority: 5 U.S. C. 301, Departmental Regulations, 10 U.,S.C. 133, Under Secretary of Defense for Acquisition, Technology and Logistics DoD Instruction 7050.01, Defense Hotline Program; DoD Instruction 5200.22, Reporting of Security and Criminal Violations; and DoD Instruction 5505.6, Investigations of Allegations Against Senior Officials of the Department of Defense

Purpose: Records the hotline complaint given by an individual in connection with an incident, accident or suspected violation under investigation, regardless of the individual's relationship to the investigation.

Routine Uses: The Blanket Routine Uses Published by DLA and set forth at the beginning of DLA's compilation of system of records notice.

Disclosure: Voluntary

Rules of Use: Rules for collecting, using, retaining and safeguarding this information are contained in the DLA Privacy Act Systems Notice, S500.60, entitled "DLA Hotline Program Records" available at http://dpclo.defense.gov/privacy/.

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