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Naval Inspector
General Hotline Complaint Form
This form is provided for
individuals who do not wish to send their complaint via the internet
from an e-mail address. You may print this form, fill in all of the
requested information, and send it to an IG (see
Contact an IG for command fax numbers). If you have not already
done so, review the 4-Step Hotline Complaint Process below.
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Step 1: |
Determine the best method to address your issue. |
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Step 2: |
Review the
Frequently Asked Questions (FAQS) so that you will
know what to expect when you file a hotline complaint. |
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Step 3: |
Prepare your complaint
for submission to an IG. (Information the IG will
ask you to provide when you file a complaint.) |
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Step 4: |
File a
complaint with an IG. |
1.
Do you wish to remain anonymous?
Yes (If yes, do not identify yourself below)
No
2. If no, do you want confidentiality?
Yes (If yes, identify yourself
below. We will not release your name without your consent.)
No
3. Are you willing to be interviewed?
Yes
No
4. Your Name: (no nicknames please)
First -
Last -
Mailing Address:
Address Line 1 –
Address Line 2 –
City –
State –
Zip code –
Country –
Home Telephone: (Area Code & number)
(Include country code, if applicable)
Work Telephone: (Area Code & number)
(Include DSN and/or country code, if applicable)
E-Mail Address:
5. Who
is involved? Include everyone’s first and last names, rank/pay
grade, and duty station/place of employment.
Subject(s):
Who performed the wrongdoing?
Witness(es):
Who are the witnesses?
6.
What
did the subject do or fail to do that was
wrong?
7. What rule, regulation or law do you
think the subject(s) violated?
8. When did the
incident occur?
Provide dates and times or "Early 2002," etc
9. Where did the
incident take place?
What location, command etc.?
10. Why do you think the incident took
place?
11. How
have you tried to resolve the problem? Have you contacted your
chain of command? Have you contacted your local Inspector General?
Have you tried to resolve your complaint using an established process
such as Bureau of Corrections of Naval Records, Informal Resolution
System, EO/EEO or legal system?
12.
What
do you want the IG to do?
13. Additional
information you wish to provide.
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