ED/OIG Hotline Complaint Form (MS Word)



ED INSPECTOR GENERAL’S HOTLINE

SPECIAL COMPLAINT FORM

Top of Form 1

Please check appropriate box - Allegation made concerning:

( Recipient ( Institution ( Lender ( Collection Agency 

( ED Employee  ( Ed Contractor   ( ED Management/SES  ( Others

ALLEGED VIOLATOR:

Individual:

Address:

City: State: Zip:

Social Sec. No.:

Entity/Institution:

Address :

City: State: Zip:

School ID(If known):

Employer:

If employed with ED please provide Office/Organization, Series and Grade, supervisor and job site location:

COMPLAINANT:

If you wish to be identified    ( Anonymous     ( Confidential, please provide:

Name:

E-mail Address:

Mailing Address:

Tel:

FAX:

 

Which best describes the subject of your allegations:

( Fraud  (  Waste  (  Abuse    ( Mismanagement   (  Bribery  ( Theft

( Contract & Procurement     ( Travel Fraud

 Summary of Allegations:

Please contact me as soon as possible regarding this matter.

Inspector General's Hotline

Office of Inspector General

U.S. Department of Education

400 Maryland Avenue, SW

Washington, DC 20202-1500

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