Please use this form to report fraud, waste and abuse, you have observed including any suspicious activity.  If you want to remain anonymous, please call the Fraud, Waste and Abuse Hotline toll free at (866) 908-2261 two weeks after the initial report to enable us to gather more facts. You may refer to the date of your original report to preserve your anonymity.  If you choose to identify yourself, the Auditor's Office will do everything possible to maintain confidentiality to the fullest extent permitted by law.  The County is committed to full compliance with all federal and state laws related to protection of the whistleblower, if the person has reasonable cause to believe that the information discloses a violation of the County’s Fraud Policy.

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Please choose from the following options:

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Please choose from the following options:

I choose to identify myself

I choose to remain anonymous

I choose to keep my identity confidential

You can remain anonymous. However, if you would like to identify yourself, please fill out the following information:

You can remain anonymous. However, if you would like to identify yourself, please fill out the following information:

First Name

Last Name

Address

City

State(Select State) Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip Code

Phoneext.

Email

Preferred way to contact you?

Preferred way to contact you?

Email

Phone

None - I choose to remain anonymous

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Category of Fraud, Waste or Abuse:

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Category of Fraud, Waste or Abuse:

Misuse of Equipment/Property (Personal Benefit)

Insurance Fraud (Worker's Compensation Health)

Falsifying Records (Inflated Expense Reports)

Contracts (Bid-Rigging, Kickbacks, Inflated Costs)

Payroll Fraud (Ghost Employees, Fictitious Hours)

Payroll Abuse (Inflated or Unnecessary Overtime)

Personnel Fraud (Filing False Application)

Procurement Fraud (Fictitious Vendor)

Describe the incident of fraud, waste or abuse you have observed. Please be specific:

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Describe the incident of fraud, waste or abuse you have observed. Please be specific:

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Have you previously reported this incident to the hotline or elsewhere?

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Have you previously reported this incident to the hotline or elsewhere?

Yes

No

If yes, to whom?

If yes, to whom?

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Can you provide specific documentation to support the allegation?

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Can you provide specific documentation to support the allegation?

Yes

No

If yes, what?

If yes, what?

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Terms and Conditions:
Please check the box to indicate that you have read and understand the following user agreement:  The information provided to the Fraud Waste and Abuse Hotline of McHenry County is accurate and truthful.  False allegations have a serious and negative impact. They can also damage reputations. Frivolous reporting of Fraud, Waste and Abuse is subject to possible penalties if the information was intended to intentionally mislead.

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I agree to the terms and conditions of using the Fraud, Waste & Abuse Hotline Form

1. To receive a copy of your submission, please fill out your email address below and submit.
2. Email Address

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