Whistleblower Report Form Template

Collect anonymous reports of workplace or organizational misconduct, including details, evidence, and optional contact information. Used by organizations to receive reports for review.

Use this template free

When to use it

  • An employee reports harassment or discrimination
  • Someone flags suspected fraud or misuse of funds
  • A person reports safety violations or retaliation
  • An organization needs a confidential channel for misconduct reports

What it asks

  1. What kind of misconduct are you reporting?
  2. When did it happen?
  3. Who was involved?
  4. What happened?
  5. Upload any supporting evidence
  6. Email for optional follow-up
  7. Phone number for optional follow-up

Why it should be encrypted

Reports may name people, describe allegations, or include evidence and contact details. Only authorized reviewers should read them—not coworkers, the public, or SealForm.

Tips

  • Explain who will review reports and how follow-up works.
  • Keep contact fields optional if you want to support anonymous reporting.
  • Ask for dates and relevant evidence, but remind reporters not to upload unrelated personal information.

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