LOS ANGELES UNIFIED SCHOOL DISTRICT
Electronic Form
OIG Hotline Form
Page 1 of 2
Information about the subject of your report
Please be detailed and specific when answering the questions below.
1.
Please select what best describes the subject of your report.
*
--Please Select--
Employee
Contractor
Consultant
Vendor
Volunteer
Program
Other/Unknown
2.
What is the complete name of the subject?
*
3.
If applicable, what is the subject's position or title?
4.
Where did the incident(s) occur?
*
Physical address or school/office name.
5.
When did the incident(s) occur? If the incident(s) occurred over a period of time, please enter an approximate date range.
*
6.
Please provide a detailed description of the facts and circumstances surrounding the reported activities.
*
7.
Is there any evidence to support this report/allegation?
--None--
Yes
No
8.
Has this incident been previously reported?
--None--
Yes
No
9.
If this incident was previously reported, to whom?
