Public Interest Disclosure v2
When did the alleged events occur?
Summary of matters to disclosure:
Description of any documents provided or name/s of witnesses
Have you reported this information to any other person or authority?
Please note: The above information summarises the submission. To view the entire submission, please check your email where a copy has been sent to you.
By signing this form you agree that the information you have been provided is true and accurate to the best of your knowledge and understand that under Section 87(1) of the Public Interest disclosures Act 2002, it is an offence for a person to knowingly provide false information under the Act to certain officers (including the Ombudsman) with the intention that it be acted on as a disclosed matter. The provision provides for a maximum penalty of 240 penalty units or two year’s imprisonment, or both.
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Your legal name
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Document Name: Public Interest Disclosure v2
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