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Fraud Hotline Report Form

Please note: This Form is for reporting information concerning fraud, waste or abuse in Chambers County programs or operations. 

Complainant Contact Information (Optional):

Please give a very detailed description of the incident especially in cases where the complainant remains anonymous. 
First and Last Name (Optional):
Home Phone (Optional):
Cell Phone (Optional):
Email Address (Optional):
Date of Incident:
Information Concerning Person or Persons Involved in the Incident: Please be very specific and give all of the information you can including the name and job title of the person(s) if known:
Detailed Description of the Incident: Remember if you are remaining anonymous we will not be able to contact you so please give very specific facts about the incident.

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