Employee Misconduct Complaint Form

IAB Complaint Filing

This official form is dedicated to reporting employee misconduct. Matters reported other than employee misconduct are referred to responsible divisions.

ENCRYPTED • IAB REPOSITORY

1. Reporter & Filing Details

Date of Filing *

Reporter Full Name *

Gender *

Phone Number *

Home / Business Address *

2. Employee(s) Involved

3. Witness Information

4. Incident Narrative

Incident Location *

Primary Allegation Category *

Describe What, Where, When, Why, and How the Incident Occurred *

5. Supporting Evidence

Declaration of Agreement

I, [Your Legal Name], hereby solemnly declare and affirm the following: I attest that the statements provided herein are truthful and accurately reflect the events as they transpired. I affirm that all evidence submitted in support of this declaration is authentic, unaltered, and has not been modified or manipulated in any manner. I fully acknowledge that any falsification or misrepresentation of the aforementioned statement or evidence may result in legal consequences, including but not limited to criminal liability. I willingly accept full responsibility for the veracity of this declaration and understand that I may be subject to legal action should it be proven that I knowingly provided false information. This declaration is made in good faith and with a full understanding of the legal implications of any dishonesty or misrepresentation.

I solemn affirm and agree to the declaration statement above under penalty of law. *

Typed Electronic Signature *

Date of Affirmation

* All filings are subject to administrative IAB preliminary review.