Questionnaire - FasterDraft

Employee Whistleblower Letter

Whistleblower Letter
- Who is Sender?
- Who is Recipient?
- Incident Details
Complete the Document
- Format & Signatures

Who is Sender?

Does the Employee sending this letter wish to disclose their identity?
- Yes, disclose to everyone
- No, disclose only to the recipient
- No, the letter is being sent anonymously
Indicate Employee's full name (i.e. this a person who sends this letter):
Indicate Employee's full residential address:
Select the date on which Employee signs this letter:
State Employee’s current job title:
Indicate Employee's contact email address:
Indicate Employee's phone number:

Who is Recipient?

This letter is being sent to:
- employer
- another competent body
!
In the UK, whistleblowing concerns can be investigated by the employer, or by a range of prescribed or competent authorities depending on the issue involved, including:
- Health and Safety Executive — workplace health and safety breaches
- HM Revenue and Customs — tax fraud or financial misconduct
- Financial Conduct Authority — banking, investment, or financial services misconduct
- Information Commissioner’s Office — data protection or privacy breaches
- Care Quality Commission — concerns about health and social care services
- Environment Agency — environmental damage or pollution
- Police — criminal offences or serious illegal conduct
Indicate Employer's full name:
Briefly describe the Employer’s business activities:
Indicate full name of Employer's representative to whom this letter is being addressed:
Indicate Employer's business registered address:
Indicate the full name of the competent authority to whom this letter is being sent:
Provide the recipient’s mailing address:

Incident Details

Describe in detail the incident Employee wishes to report:
Select the date on which the incident took place:
Indicate the location where the incident took place:
List the names of any staff members or employees involved in this incident:
Were there any witnesses to this incident?
- No
- Yes
List the full names of any witnesses to this incident:

Do you want to add a signature?
- Yes
- No
Employee's signature

Select a template's format:

PDF

DOCX

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Who is Sender?

Does the Employee sending this letter wish to disclose their identity?

Indicate Employee's full name (i.e. this a person who sends this letter):

Indicate Employee's full residential address:

Select the date on which Employee signs this letter:

State Employee’s current job title:

Indicate Employee's contact email address:

Indicate Employee's phone number:

Who is Recipient?

This letter is being sent to:

Indicate Employer's full name:

Briefly describe the Employer’s business activities:

Indicate full name of Employer's representative to whom this letter is being addressed:

Indicate Employer's business registered address:

Indicate the full name of the competent authority to whom this letter is being sent:

Provide the recipient’s mailing address:

Incident Details

Describe in detail the incident Employee wishes to report:

Select the date on which the incident took place:

Indicate the location where the incident took place:

List the names of any staff members or employees involved in this incident:

Were there any witnesses to this incident?

List the full names of any witnesses to this incident:

Do you want to add a signature?

Employee's signature

Select a template's format: