Whistleblowing - AGF Whistleblowing

Important Instructions:

In order for us to best understand your information, we encourage you to answer all the questions that you can. When providing information, please be as specific as you can and provide as much detail as possible. We encourage you to submit any documents relevant to your information by clicking on the “Add Documents” button.

ABOUT WHICH INSTITUTION WOULD YOU LIKE TO COMPLAIN OR REPORT AN INCIDENT? *

WHERE IS THE INSTITUTION LOCATED? *

Address *

City *

Province/Region

PLEASE INDICATE YOUR RELATIONSHIP TO THE INSTITUTION REPORTED

Employee
Customer
Supplier
Other

SPECIFY THE RELATIONSHIP *

Important Instructions:

WOULD YOU LIKE TO PROVIDE YOUR NAME? *

WHY WOULD YOU LIKE TO STAY ANONYMOUS *

NAME *

PHONE NUMBER

PLEASE SELECT THE OPTION THAT BEST DESCRIBES YOUR COMPLAINT *

Financial crime (e.g. Fraud, swindling, theft, Embezzlement, etc. )
Cyber-crime
Forgery (E.g. False document, counterfeiting, etc,)
Suspicious financial activity
Terrorism activity
Criminal activity
Disclosure of confidential information to unauthorized individuals
Procurement issues
Misconduct (e.g. Sexual harassment, discrimination, abuse, misuse of property)
Breach of company’s policies and procedures
Other

PLEASE SPECIFY *

DO YOU KNOW THE NAME OF THE INDIVIDUAL(S) OR ORGANIZATION(S) INVOLVED ? *

PLEASE NAME OR CITE THEM *

Important Instructions:

DO YOU WANT TO ADD ONE OR MORE OTHER PARTIES INVOLVED? *

PLEASE NAME OR CITE THEM *

HAS MANAGEMENT BEEN NOTIFIED ? *

WHEN DID THE INCIDENT OCCUR ? *

WHERE DID THE INCIDENT OCCUR ? *

HOW DID YOU KNOW ABOUT THE INCIDENT ? *

WHEN DID YOU DISCOVER THIS INCIDENT? *

ESTIMATED VALUE INVOLVED (IF ANY)

Important Instructions:

HAVE YOU TAKEN STEPS TO RESOLVE THE ISSUE OR PREVENT FUTURE INCIDENTS? *

IF YES PLEASE SPECIFY *

HAVE YOU INFORMED AN AUTHORITY, A GOVERNMENT AGENCY OR THE MEDIA? *

IF YES PLEASE SPECIFY *

PLEASE PROVIDE A DETAILED AND COMPREHENSIVE DESCRIPTION OF THE INCIDENT. *

IF YOU HAVE ANY PHYSICAL DOCUMENTATION AVAILABLE, KINDLY UPLOAD AND PROVIDE A DESCRIPTION OF THE UPLOADED DOCUMENTATION.

Click or drag files to this area to upload. You can upload up to 10 files.

DO YOU KNOW IF THIS INCIDENT WILL HAPPEN AGAIN?

Yes, this will happen again in the next 24 hours
No, it will not happen again
I don't know
Other

PLEASE SPECIFY *

WOULD YOU LIKE TO OFFER RECOMMENDATIONS TO REMEDY THIS INCIDENT? *

IF YES PLEASE SPECIFY *