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Whistleblower Reporting Form

Keystone Solutions

This online form is designed for employees, contractors, suppliers, and other stakeholders to report concerns about illegal, unethical, or improper conduct within Keystone Solutions. Your report will be treated confidentially and, if you choose, you can submit it anonymously.

Instructions

- Confidentiality: All information provided will be kept confidential to the extent possible.
- Anonymity: You may choose to remain anonymous. However, providing your contact information can help us conduct a more thorough investigation.
- Good Faith Reporting: Please ensure that your report is made in good faith and based on reasonable belief.

Section 1 - Reporter Information

Optional if you wish to remain anonymous.

Full name

Position / Job Title

Department / Company

Email

Phone Number


Section 2 - Allegation Details

1. Type of Misconduct

Please select all that apply.
1. Type of Misconduct

2. Description of the Concern

Please provide a detailed description of the incident(s), including what occurred, how it occurred, and why you believe it is improper.

3. Date(s) and Time(s) of Incident(s)

4. Location of Incident(s)

5. Individuals Involved

Please list the names, positions, and departments of all individuals involved or with knowledge of the issue.

6. Supporting Evidence

If you have any documents, emails, or other evidence that support your allegation, please describe them here. You may attach files below if available.

7. Uplooad files

You may upload documents, images, or other files that support your report.

Section 3 - Anonymity Preference

Do you wish to remain anonymous?