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Fraud-Waste-Abuse Reporting Form

The purpose of this State Education Department form is to facilitate the reporting of allegations of fraud, waste, abuse, or mismanagement of education funds. In all cases, please provide as much detail as possible concerning the who, what, when, where,  how and how much.

 

Note: use tab or mouse to move between fields in the form.
Contact Information

This information is optional, but providing it allows us to contact you in the event that additional questions arise.

  I would like to be anonymous, confidential, or there is no restriction:

  Entity involved:

  First Name:

  Last Name:

  E-Mail Address:

  Phone Number:

  Street Address:

  City:

  State:

  Zip Code:
Complaint  

In the space below, please describe the alleged fraud, waste, abuse, or mismanagement in as much detail as possible. Include such things as: the date alleged activity first occurred, if the alleged behavior is still occurring, if you notified a supervisor/manager or any other State agency/personnel or law enforcement about this allegation.

 

Other Agency contacted:

   (All information entered may be lost if you leave this page without submitting the form.)

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