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Whistleblowing Report Form
Novembro 5, 2026
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Innercompany Reporting Form
Whistleblowing report
Who is make report*
I am a consumer or shareholder
I am an employee or ex-employee with concerns
Someone I know well witnessed wrongdoing at work
Someone I know well is committing wrongdoing at work
I want to report wrongdoing on behalf of my employer
Please provide a brief outline of the issue*
Please provide the names and/or designation of the people involved*
Please enter the time period of the issue in question
Is the alleged conduct still ongoing?*
Yes
No
Don't know
Please provide links to documents, photographs and any other proofs supporting your claim
What is the nature of your information?*
I heard/saw it myself
I heard people talking about it
Please provide names of superiors you have communicated this with beforehand, if any
Declaration of Policy Awareness*
I hereby confirm that I have read and understood the organization’s Whistleblowing Policy.
Declaration of Truthfulness*
I hereby declare that, to the best of my knowledge, the information I have provided is true and has been submitted voluntarily.
Acknowledgment of Use*
I understand and acknowledge that the information provided may be used during the investigation and reporting process, and that disclosure of my identity may be required by law, regulatory authorities, or judicial proceedings.
Submit
Please copy and retain this token for future login and for follow-up on the response.
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