Internal Audit Fraud, Waste, and Abuse Form

2. First Name

3. Last Name

5. Phone

6. Email

8. Preferred Method of Contact

   1. Phone

   1. Email

10. Please describe the alleged fraud, waste, or abuse.*

    Provide as much detail as possible.

12. What department/area of the City of Surprise is involved?*

    Please list the department, vendor, contractor, location, or personnel.

14. Attach any available documentation related to the incident.

16. Have you reported your concern(s) to anyone within the organization?*

    1. Yes

    1. No

18. If yes, who and what was the outcome?*

Leave This Blank:


20. Submit

* indicates a required field