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FLORIDA DEPARTMENT OF EDUCATION
OFFICE OF INSPECTOR GENERAL
325 West Gaines Street Suite 1201, Tallahassee, FL 32399-0400

                        COMPLAINT FORM
The Office of Inspector General conducts investigations involving allegations of fraud, waste, abuse, mismanagement, and misconduct involving Department of Education employees or businesses/organizations doing business with the Department of Education. If you believe such a violation has occurred, please complete the following form and submit it for review.
Fields marked with * are required.
Your Contact Information:
(You may remain anonymous if you choose. However, it is most beneficial if we have the ability to contact you for additional information and/or clarification of the issues you are reporting).


( )
 
( )

How would you prefer we contact you?      

Are you a current employee of a state agency or a state agency contractor?
Are you a former employee of a state agency or a state agency contractor?
Are you an applicant for a position with a state agency or a state agency contractor?

*Who committed the alleged violation?

*Person, Business, or Organization
(subject)
*Subject’s Employer ( )
*Subject’s Business Address
(Street Address) 		*City
  *Zip
*Subject’s Position/Title: *Unit/Section/Location

*If the subject of the alleged violation is a Department of Education employee, is he or she your supervisor?

*Have you notified anyone else or any other agency of the allegation(s)?

*If yes, what were the results?


* What Happened?

Describe in detail what the subject did that was improper. Please indicate when this occurred, where it occurred, how it occurred, and identify any other witnesses who have information about the alleged violation. Please identify any evidence you have that is relevant to the alleged violation.


*Complaint Confirmation

Do you affirm that the information contained in this complaint is true and correct to the best of your knowledge?

By clicking the “Submit Complaint” button below, you are affirming the information contained in this complaint is true and correct to the best of your knowledge.

Upon submission of your complaint, the Office of Inspector General will conduct a review of the information submitted. Additional information may be requested. A determination will be made as to whether an investigation will be initiated by this office or if your complaint should be referred to another office or agency for review.

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Under Florida law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public-records request, do not send electronic mail to this entity. Instead, contact this office by phone or in writing.