Fraud, Waste, and Abuse Hotline Online Reporting Form

Please use the below form to report suspected fraud; misuse of County resources by vendors, contractors, or County employees; and significant violations of County policy.

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Contact Information

How do you wish to be identified?
Name:
Email Address:
Work Phone:
Home Phone:
Job Title:
Department/Agency:
Special Instructions about contacting you during the day, if desired.


Alleged Participant(s)

Name:*
Department/Agency:
Status:
Theft:
Embezzlement:
Bribes, Kickbacks:
Conflicts of Interest:
Misappropriation of Resources:
Filing Fictitious Claims:
Unauthorized Use of County Equipment:
Other:


Specifics

Frequency:*
Location:*
Date and Time of Incident(s):
Description of Allegation. (Please be specific):*
Describe how you became aware of the situation.*
Will your report be provided to anyone other than the Auditor-Controller Fraud, Waste and Abuse Hotline? Please explain:*


Fields marked with an asterisk (*) are required fields. Need assistance filling this form out? Contact us at fraudhotline@atc.sbcounty.gov or call us at (909)386-8821 for support Monday - Friday, 9am to 5pm.

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