Whistleblowing Reporting Form

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This form is to be used for report, a concern under Torbay Council’s Whistleblowing policy and procedure.

The information given on this form will be treated in the strictest confidence

Description of the concern

Dates of incidents: *

Who was involved : *

Why this is a concern: *

Please confirm if there were any other witnesses: *
(supply names/contact details if possible)

Providing additional evidence

Do you want to upload a document/s? *

Yes
No

Additional evidence documents

Additional evidence: *

Additional evidence:
Optional

Have you tried to raise this with anyone previously? *

Yes
No

You are encouraged to give your name to this report. Complaints raised anonymously are much harder to investigate but will be considered at the discretion of the Finance, Ethics and Probity Group.

Providing your name allows the council to gain further insight, if necessary to support the investigation, from you to the event(s) being reported and to provide a response on the outcomes of an investigation, where taken forward.

Are you happy to provide your name? *

Yes
No

Contact details

First name: *

Surname: *

Contact details

Business Unit/Service:

House name/number:

Postcode: *

Contact details

Email address: *

Telephone number: *
If we call you our number will be withheld.

The Council will do its utmost to protect an individual's identity when they raise a concern and do not want their name to be disclosed. It must be acknowledged by the individual raising the concern though that the investigation process itself, may well reveal the source of the information and depending on the outcome, a formal witness statement by the individual may be required as evidence within a Court.

Data protection

Information collected and processed by us complies and is stored in accordance with the UK Data Protection Act, 1998. The information you have provided will be used and shared only for the purpose for which it’s collected. The information will not be shared with third parties, however in certain circumstances we may need to disclose information to third parties such as the police or the Department for Work and Pension as required by applicable legislation or for the prevention and detection of crime.

We may use the details you have provided to contact you about council services, this may be through email, post or SMS text message.

For further information regarding personal data that Torbay Council may hold on you and how to access it visit www.torbay.gov.uk/sar.

Do you accept these terms and conditions