La Trobe University > About > Governance > Fraud and corruption > Fraud allegation form

Fraud allegation form

La Trobe University complies with the Protected Disclosure Act and has appropriate procedures in place. If you wish to make protected disclosure refer to the La Trobe University Protected Disclosure Policy and Procedure.

All information on this form will be kept confidential.

La Trobe University respects the privacy of your personal information, please refer to our Privacy Collection statement.

Do you request anonymity? If 'no' please fill in your details below.

Name

Your relationship to La Trobe University (eg, staff, student, visitor, contractor.

If staff or student, your School/Department

Your contact details

Phone number

Email address

Best time to contact you.

Details of the incident

Identity of person(s) involved in behaviour/incident (if known).

Is the person a staff member?

If ‘yes’ name of department.

If 'no' what is this persons relationship to the University?

Do you suspect that a staff member who is a manager or supervisor is involved in the behaviour/incident?

Yes
No
Don't know

If yes please provide name(s).

Please detail the nature of the incident (including location and time).

If the incident involves money, what do you estimate the value to be?

How did you become aware of this incident/behaviour?

Are there any witnesses to this incident/behaviour?

Please provide witness name(s) and if possible contact details.

Do you have any documents or other evidence to support your report?

If 'yes', please attach evidence to support your report. PDF, Word files accepted. Files no larger than 8MB.

Please provide brief details of evidence (eg document name/number, photograph).