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1. Complainant identification (optional)

Do you want to identify yourself or would you prefer to remain anonymous?

I want to identify myselfI prefer to remain anonymous

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2. Relationship with the company

What is your relationship with the company?

—Escolha uma opção—EmployeeFormer employeeSupplierClientService provider / third partyJob applicantCommunityOther

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3. Report classification

Select the type of situation that best applies:

Moral harassmentSexual harassmentConflict of interestUnethical conductCorruption or briberyMisappropriation of materials or assetsDiscrimination (race, gender, religion, age, etc.)Favoritism or nepotismFraud or financial irregularityImproper use of company resourcesViolation of internal rules or policiesViolation of workplace safety rulesViolation of confidentiality or dataI am not sure which category appliesOther

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4. Information about the incident

In which area, department, or location did the reported incident occur?

When did the incident occur?

Specific dateApproximate period

The incident occurred:

Only onceMore than onceIt is still happening

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5. Description of the report

Describe the incident in detail (what, who, when, and how):

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6. People involved

Please indicate, if known, the people involved (name / position / department):

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7. Witnesses

Are there any witnesses that can confirm what happened?

YesNoI am not sure

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8. Evidence

Do you have documents, records, or evidence (emails, photos, etc.)?

NoYes

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9. Previous communication

Has this situation been reported before?

NoYes, by emailYes, by messageYes, verbally

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10. Suggestions

If you wish, share suggestions to help solve the situation: