Legal

Anonymous Whistleblower Report

You may submit this report anonymously.
All reports will be handled confidentially and securely.
No individual will face retaliation for reporting in good faith.
False or malicious reporting may result in disciplinary action.

This form is provided in accordance with the AverCare Whistleblower Policy (AC-HR-WB-019). It allows employees, consultants, vendors, and third parties to report concerns relating to misconduct, legal violations, security breaches, and ethical concerns.

1. Reporter Details (Optional)

You may leave this section blank to remain anonymous.

Name

Role / Relationship

Contact Email

Contact Number

2. Type of Concern (Required)

3. Description of Incident (Required)

4. Date & Time of Incident (Optional)

Date

Time (if known)

5. Location / System Involved (Required)

Details

6. Persons Involved (Optional)

7. Information Security / Data Impact (Optional)

8. Supporting Evidence (Optional)

Do you have supporting evidence?

If yes, describe

9. Previous Reporting (Optional)

Have you reported this issue before?

If yes, please provide details

10. Declaration

I confirm that this report is submitted in good faith and to the best of my knowledge is accurate.

Confidentiality Notice:This report will be received by AverCare's designated Ethics & Compliance Officer only. Your identity, if provided, will be protected to the fullest extent permitted by law.