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Whistleblower Complaint Form
Estes Valley Library
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Whistleblower Complaint Form
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Whistleblower Complaint
Name
First
Last
Title
Team
Email
Have you brought up this matter previously with any individual or entity?
Yes
No
If yes, when and with whom?
What is the nature of the alleged violation: (eg: gross mismanagement or waste of money, a substantial and specific danger to public health or safety, a violation of law or of library policy)
Person(s) against whom the complaint is made:
Provide a statement of facts that details the information that you reasonably believe is evidence of unlawful action or violation of library ethics or policies:
Affirmation
(Required)
I affirm that I have read the above statement and that it is true to the best of my knowledge, information and belief.
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