OIG Complaint Form

Report Fraud, Waste, Abuse or Corruption Within the Executive Branch of State Government

* indicates a required field

Georgia law may provide whistle-blower protection for state employees who report wrongdoing.  See Official Code of Georgia Annotated section 45-1-4. 

DO NOT PROVIDE ANY DATES OF BIRTH OR SOCIAL SECURITY NUMBERS ON THIS FORM.  If needed, we will contact you for any information that you indicate to have in addition to the form submission.

 


Personal Contact Information

This form cannot be printed online. In order to receive an email copy of your completed form, you must provide an email address.
Are you a state employee?
(###) ###-####
(###) ###-####
(###) ###-####

Name of person(s) and agency involved in alleged wrongful act or omission

Information that is helpful includes: What is the problem? Who is involved? When, where and why did it happen?
Has this complaint been filed with any other agency or investigative entity?
Date Filed
Has a lawsuit and/or administrative grievance been filed against this agency/individual based on the allegations in this complaint?
Attach relevant documents
Include the address and phone number of such person(s).
May we refer your complaint to the appropriate agency if necessary? Once referred, you may be contacted by that agency.
If your complaint is referred to another agency, do you want your name and contact information removed?