EFJ Complaint Form

Allegation

Please provide as much information as possible. Detailed, complete and accurate information will improve the Recovery Accountability and Transparency Board’s ability to respond to your allegation. If you do not know the answer to a question, you can leave the space blank.

What

Provide details of the alleged fraud, waste, abuse or mismanagement. Examples of facts and circumstances to include are (1) a description of the misconduct; (2) how you know about the allegation; (3) how and when the misconduct was discovered; (4) the amount of money involved; (5) how long the alleged misconduct occurred; (6) attempts by the alleged violator(s) to hide the misconduct; and (7) any other information you believe may be relevant.

When:

When did the misconduct occur? If the misconduct occurred over time or is currently ongoing, enter the actual or approximate start date.

When (date)

When (time)

Where

Where did the misconduct occur? Complete all known fields.

Street Address

City

State/Territory

Zip

Who

Identify the primary person or entity who engaged in the alleged misconduct. If more than one person is involved, enter the additional identifying information in the open box below.

First Name

Middle Initial

Last Name

Street Address

City

State/Territory

Zip

E-mail

Company, organization, or other entity affiliation of the primary person who engaged in the alleged misconduct (if applicable):

Additional individuals involved in the alleged misconduct

Other

Please provide any additional information concerning this misconduct, such as (1) a list or description of any documents or other evidence you or others may have that is relevant to the complaint; (2) the names and contact information for other witnesses who could provide additional information; and (3) any other information you believe may be relevant to the complaint.

Education Jobs Fund Information

How do you know the complaint involves Education Jobs Fund money?

Federal Agency that awarded, distributed or administered the funds in question

Grant Number

Description Program

Please list any other Government entities you have notified about this incident (Federal, State and Local)

Your Information

First Name

Middle Initial

Last Name

Street Address

City

State/Territory

Zip

E-mail

Phone Number

Remain Confidential

Yes No

Whistleblower Protection

Have you been discharged, demoted, or otherwise discriminated against because you disclosed this alleged misconduct?

Yes No

If yes, please explain below

Contact Us

Complaint Form

Allegation

What

When:

Where

Who

Other

Education Jobs Fund Information

Your Information

Whistleblower Protection

Required Plug-ins