WHISTLEBLOWING MODULE
FOR ETHICAL ALERT REPORTS
Sign in to Google to save your progress. Learn more
Do you want to remain anonymous? *
Name and Surname
Email
Phone Number
Preferable time to be contacted
Please indicate where the incident / accident occurred *
Specify country, entity, headquarters, city, department ...
Please indicate when the incident / accident occurred *
Specify the data and time or time frame as accurately as possible
Please describe the illegal, unethical or improper conduct you wish to report, in as much detail as possible *
Indicate the persons or functions involved in the accident; indicate the links that allow you to investigate the report
Please indicate how and when you became aware of the incident / accident and what your relationship is with Orange1 *
Please indicate the names of the persons or organizations to whom you have already made the report *
Please indicate the presumed amount of damage that the incident / accident may have caused in €
Fill in only if you believe you have elements to assess the potential damage
Do you agree to contact you if you have any further questions? *
How would you prefer to be contacted? *
We assure you that you will not be contacted on your office telephone number or email unless expressly indicated in the "contact details" field above. If you wish to be contacted at your personal contact details (listed in the "contact details" above) indicate your preferred time slot.
I confirm that I have read the privacy policy at https://www.orange1.eu/privacy-policy/ *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy