Confidential Reporting

Confidential Reporting Form

In your own words, please describe the who, what when, where and how of the fraud, waste or abuse

Name(s), job title(s), department(s) of the individual(s) involved

Date and Time of Occurrence

Describe how and when you became aware of the problem being reported

If you have reported your concern to any other department, school or agency, to whom did you report your concern

If you wish to remain anonymous, you do not have to provide contact information. We encourage you to provide your contact information for any follow-up questions that may arise during our review or to obtain a copy of the final report at the completion of the review. All contact information provided is considered confidential. However, if Columbia State Community College has a separate legal obligation to investigate the complaint (e.g., complaints of illegal harassment or discrimination), Columbia State cannot guarantee anonymity or complete confidentiality.

Name

Phone Number

If there are other individuals aware of this problem who provide more information, provide their full names and contact information.

Error: Could not load reCAPTCHA. Please refresh the page.

Confidential Reporting

Confidential Reporting Form

Contact