ETHICSPOINT IS NOT A 911 OR EMERGENCY SERVICE.
Do not use this site to report events presenting an immediate threat to life or property. Reports submitted through this service may not receive an immediate response. If you require emergency assistance, please contact your local authorities.

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Please provide information as follows:
( * Required fields )

Organization/Tier: Indiana University

Physical address, branch and/or store number
   

         
Your Name:
 
   
          
  While you may submit your report anonymously, please understand that due to the nature of certain claims, the University may be limited with respect to the information the University may be able to obtain and the action(s) it may be able to take in response to your report.
        
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Report - HIPAA
* Please identify the person(s) engaged in this behavior:
         <font color="#000000">Example:<br><br>John Doe, Director of Internal Audit<br>Unknown, Unknown, Night Supervisor</font>
        
First Name Last Name    Title
#1 -
#2 -
#3 -
Do you suspect or know that a supervisor or management is involved?
                    
          
                
Any persons mentioned here will be restricted by EthicsPoint from access to this reported information.
   <font color="#000000">Example:<br><br>John Doe, Director of Internal Audit</font>
                
Is management aware of this problem?
                    
        
This should be a general description only, you will be asked for specifics later.
        
        
We recognize that this incident may not have occurred in a particular location. However, if this incident was observed in some documentation or business transactions, please indicate this accordingly.
        
        
   <font color="#000000">Examples:<br><br>Tuesday, May 3, 2002<br>Two weeks ago<br>Approximately a month ago</font>
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Please identify by name and title.
   <font color="#000000">Examples:<br><br>Ignored it<br>Changed documents<br>Said it was not a problem<br>Said they would look into it</font>
        
If you have a document or file that supports your report, most common file types can be uploaded:
        
* Please provide all details regarding the alleged violation, including the locations of witnesses and any other information that could be valuable in the evaluation and ultimate resolution of this situation.

Please take your time and provide as much detail as possible, but exercise care to not provide details that may reveal your identity unless you wish to do so. It may be important to know if you are the only person aware of this situation.
  When you submit the report, you will be issued a Report Key. Please write it down and keep it in a safe place. We ask you to use this Report Key along with the password of your choosing to return to EthicsPoint through the website or telephone hotline in 10 business days. By returning in 10 business days, you will have the opportunity to review any Follow-up Questions or submit more information about this incident.
Please choose a password for this report:
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Your passwords must match and be at least four characters long.