Information about the consumer
Information about the charitable organization
Information about the incident
When were you first contacted by this organization?
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Information for current or former employees or volunteers
Please note that any information provided may e reviewed by the organization or become subject to public disclosure.
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Description of Incident
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Supporting Documentation
SECURITY NOTICE: The documents you attach are being sent over the
internet. Please
DO NOT
attach any documents that contain the following:
- Social security numbers
- Date of birth
- Passwords
- Sensitive or identifying information that could be used to compromise or steal your
identity, or
- Other information that may violate your privacy.
Please be sure to tell us about all of the documents that may support your allegations
in the sections above.
If we need additional information from you, we will:
- Contact you directly
- Tell you what documents we need, and
- Arrange for you to provide it to us in a more secure manner.
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Acceptable file types include PDF, JPEG, WAV and MP3.
Verification
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