California State Auditor - Investigative Complaint Form

Bureau of State Audits - 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.

You are currently using an unencrypted connection to display this form. It is possible for anyone eavesdropping on this connection to read your complaint if you submit it using this form. Please connect to our site using a secure connection if you would like your complaint submittal to be encrypted and not subject to eavesdropping.

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

Name:

Position:

Work Phone:

Home Phone:

Employer:

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

Suspect 1

* Name:

Position:

* Department:

Division:

Department Address:

Work Phone:

Suspect 2

Name:

Position:

Department:

Division:

Department Address:

Work Phone:

Witnesses (if any)

Witness 1

Name:

Title:

Phone:

Witness 2

Name:

Title:

Phone:

Witness 3

Name:

Title:

Phone:

Allegation

* Type of Complaint:

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

* Complaint:

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:

Items with * are required.