Whistleblower Hotline Online Reporting Form Do you wish to provide contact information should audit staff need to contact you, if necessary, for additional information or clarification?* Yes No About YouYou must enter either an email address or your full mailing address.Name* First Last PhoneEmail Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code County of Residence*State law provides that individuals who make a report under this section may choose to remain anonymous until the individual affirmatively consents to having the individual's identity disclosed. Do you affirmatively consent to the Auditor's Office disclosing your identity?* I affirmatively consent to having my identity disclosed. I do not want my identity disclosed. Area of ConcernDo you have any documentation to support your complaint?* Yes No Have you taken any steps to address this complaint before contacting our office?* Yes No What has lead you to file this complaint?*What are the results of these actions by the political subdivision?*Under Missouri law, some materials that you send us may become public records. Public records are available to the public, including the media, upon request, for review, copying, and release. We urge you to redact personal identifying information such as Social Security numbers, bank account numbers, or credit card numbers. You may also consider redacting information related to your identity if you have chosen to remain anonymous. You may also send information by U.S. mail rather than the internet. Please be sure to send copies of supporting documents, not the originals. Δ
