Online Report Form

*Note: By submitting this report you authorise Report it Now to pass the information you provide to your employer by way of written report subject to the terms below. You have the option to provide your name and contact details to us or remain totally anonymous. If you provide your name and contact details to us, we are required under our services agreement with your employer, to keep those details strictly confidential and not disclose them to your employer unless you give your consent to us making such disclosure, or where we are required by law to make such disclosure. The information gathered from your report may be used in an investigation or employment process. If you have provided your contact details, we may contact you to ask you to provide further information. If you do not provide your name and contact details when submitting a report, then this may limit the extent to which your report will be able to be investigated. We will not be responsible for the use of the report by your employer for any purpose other than that which it is prepared. When we prepare and submit a written report to your employer, we rely upon your information being correct, complete and not misleading, given your information may not be verified. Please click here to view a copy of the Privacy Policy.

* We advise you to use a personal email address rather than your work email as we might need to discuss your report with you

 

* Please complete all fields

 

Do you agree that the information you provide is voluntary and will be provided to a company representative?

 


 
 
Please describe what has occurred. Be as specific and detailed as possible.
Please provide names of who was involved in the incident:
Please provide the time, date and location where the incident(s) occurred: