For full functionality of this site it is necessary to enable JavaScript. Here are the instructions how to enable JavaScript in your web browser. The DoD Hotline - Whistleblower Reprisal Complaint







Submitting

DoD Hotline - Whistleblower Reprisal Complaint





PART I - Your Information


Use this form only to file complaints of whistleblower reprisal. If you are unsure as to whether your complaint meets the criteria for a whistleblower reprisal complaint, please review the background information provided on the DoD IG reprisal webpage at Reprisal Complaint. If your complaint does not meet the requirements for whistleblower reprisal, please file your complaint as a Fraud, Waste, or Abuse complaint with the DoD Hotline at Hotline Complaint. If you are an appropriated fund civilian employee and your complaint alleges reprisal due to race, color, sex, national origin, religion, disability, or genetic information, or you feel you have been retaliated against for filing an earlier complaint with EEO, then please file your complaint with your EEO office or the Equal Employment Opportunity Commission, not the DoD Inspector General.

The Whistleblower Reprisal Complaint Form mistakenly does not allow anonymous complaints. The IG Act of 1978 and our regulations do allow for anonymous complaints. If you would like to file a reprisal complaint anonymously while we work to correct that form, please do so with the Hotline Complaint form and be sure to include the name of the person(s) alleged to be committing reprisal and the manner in which they committed reprisal, the name of the person(s) alleged to be suffering reprisal and the protected communication they made prior to suffering reprisal.

(*) Required information


Please Select One *

DATA REQUIRED BY THE PRIVACY ACT OF 1974

PURPOSE: To secure sufficient information to inquire into matters presented and to provide appropriate responses, referrals, or inquiries, where deemed appropriate.



ROUTINE USES: Information is used for official purposes within the Department of Defense; to answer complaints or respond to requests for assistance, advice, or information; by Members of Congress and other Government agencies when determined by the Inspector General to be in the best interest of the DoD. Department of Defense blanket routine uses also apply.


AUTHORITY (a) Inspector General Act of 1978, As Amended; (b) Title 5, U.S.C. §§ 2301 and 2302; (c) DoD Directive 5106.01; (d) DoD Instruction 7050.01; (e) DoD Directive 1401.03; (f) DoD Directive 7050.06.


This is a Department of Defense Inspector General (DoD IG) document and may contain information that could identify an Inspector General (IG) source. The identity of an IG source must be protected. Access to this document is limited to persons with a need-to-know for the purpose of providing a response to the DoD IG. Do not release, reproduce, or disseminate this document (in whole or in part) outside DoD without the prior written approval of the DoD IG or designee. Do not permit subjects, witnesses, or others to receive, review, or make copies of this document.


THIS SITE IS INTENDED FOR REPORTING FRAUD, WASTE, AND ABUSE COMPLAINTS INVOLVING UNCLASSIFIED INFORMATION


PART II - Your Information



Due to the unique and personal nature of whistleblower reprisal cases, your name and contact information (identity) has to be made available to the appropriate investigating agency, which may be an IG office outside of DoD IG. If you do not elect to release your identity, processing of your complaint will not continue beyond that point. If at a later date you do decide to release your identity, a new complaint can be filed at that time.

(*) Required information

Please Select One *

RELEASE OF IDENTITY (I give permission for DoD Hotline to release my name and contact information outside the DoD Hotline on a need-to-know basis.)

NON-RELEASE OF IDENTITY (I do NOT give permission to DoD Hotline to provide my name and contact information outside the DoD Hotline. I understand that processing of my complaint will not continue beyond this point.)




PART III - Reprisal Complaint Details


(*) Required information


Use this section to provide details of your reprisal allegation(s). If you are unsure whether or not your complaint meets the criteria to be a reprisal complaint, please visit the DoD Hotline reprisal website at . If you did not intend to file a reprisal complaint, do not use this form. To use the non-reprisal Hotline complaint form, click here

YOUR PROTECTED COMMUNICATION OR DISCLOSURE



(Maximum characters: 50)
You have 50 Characters left.






PART IV - Reprisal Complaint Details


(*) Required information


WHO WAS RESPONSIBLE FOR TAKING THE UNFAVORABLE ACTION (OR NOT TAKING THE FAVORABLE ACTION) AGAINST YOU AND WHAT DID THEY DO TO YOU?



(Maximum characters: 50)
You have 50 Characters left.
(Maximum characters: 50)
You have 50 Characters left.




(Error) Rank/Title/Grade is required.
(Error) Last Name is required.
(Error) First Name is required.
(Error) Subject’s Status is required.
(Error) Organization Location is required.


PART V - Reprisal Complaint Details


(*) Required information


Briefly describe your complaint. Ensure you describe why you believe the protected communication in Step 1 resulted in an unfavorable action (or denial of a favorable action) from the person identified in PART II. Describe what unfavorable action was taken against you (or what favorable action was denied) and when the action was taken. Please do not include details of non-reprisal allegations (such as fraud, waste, or abuse) in this box. Those allegations should be filed separately with DoD Hotline.



PART VI - Other Agencies You Have Contacted


(*) Required information


Please indicate in this section if you have filed your complaint with any other office, to include other Inspector General offices your Member of Congress, or the Office of Special Counsel. If you have contacted other entities, clearly identify the agency, office, or command, and provide your understanding of the current status of your matter. If you have received any responses from those office(s), provide our office with a copy.

Please Select One *


PART VII - Document Uploads


(*) Required information


Please attach documents that specifically show you made a protected communication (i.e. an e-mail to leadership) and what the personnel action taken against you (i.e. a referral performance report) or denied you was. Do not send classified documents using this unclassified internet system. We recommend that you scan your documents together into one electronic file, not to exceed 4 MB in file size.

DO ACCEPT: PDF, JPG, PNG, GIF, TXT, Microsoft Word, Microsoft Excel, and Microsoft Powerpoint
DO NOT ACCEPT: MSG, XFDL, and EML
DO NOT SEND CLASSIFIED DOCUMENTS USING THIS UNCLASSIFIED INTERNET SYSTEM!

0/5 Files Uploaded     




PART VIII - Certification


(*) Required information



If you have any questions about the certification and what it means, do not hesitate to contact the DoD Hotline at 1-800-424-9098.

* I certify that all of the statements made in this complaint are true, complete, and correct, to the best of my knowledge. I understand that a false statement or concealment of a material fact is a criminal offense (18 U.S.C. § 1001; Inspector General Act of 1978, As Amended, §7).