California State Auditor - Investigative Complaint Form

By law we must conduct our investigations confidentially, therefore we will never reveal your name to the subject department without your written permission. Please note that if you are accessing this page from your employer's computer, your employer may be monitoring such access.

Your Information (if submitting an anonymous complaint, leave blank)

Name:	Enter Text Here To Be Considered Spam:
Position:
Work Phone:
Home Phone:
Employer:

Subject(s) Information (state employee(s) who is(are) violating the law)

Subject 1

* Name:
Position:
Supervisor Name:
* Department:
Division:
Department Address:
Work Phone:

Subject 2

Name:
Position:
Supervisor Name:
Department:
Division:
Department Address:
Work Phone:

Allegation

* Type of Complaint:
* Complaint:	Briefly describe the improper activity(ies) and how you know about them. Specify who, what, when, where and how.

Evidence

Because we do not undertake formal investigations without adequate cause, we need evidence to corroborate the allegation(s) such as documents, witnesses, and other specific and relevant information.

Please provide a list of available evidence we could use to substantiate your allegations and the name(s) of the individual(s) we could contact to obtain that evidence.

* Evidence:

Witnesses (if any)

Witness 1

Name:
Title:
Phone:

Witness 2

Name:
Title:
Phone:

Witness 3

Name:
Title:
Phone:

Items with * are required.

California State Auditor Seal
California State Auditor, Bureau of State Audits
555 Capitol Mall, Suite 300, Sacramento, CA 95814
(916) 445-0255

INVESTIGATIVE COMPLAINT FORM