EthicsPoint

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.

* Yes - I agree to the Terms and Conditions of making this report.

Please provide information as follows:
( * Required fields )

PAHO Investigations Office Misconduct Report Form

Organization/Tier:

(Pan American Health Organization)

Location where
incident occurred:

Physical address, branch and/or store number

City:

State/Province:

Zip/Postal Code:

Country:

* Do you wish to remain ANONYMOUS for this report?

Yes No

If you want (Pan American Health Organization) to know your identity, please complete the following:

Your Name:


First Name	Last Name

Your Phone Number:

Your Email Address:

Best time for communication with you:

* What is your relationship to PAHO?

Have you discussed this matter with anyone (check all that apply)?

Supervisor
Human Resources Management (HRM)
Office of Legal Counsel (LEG)
Ethics Office (ETH)
Office of the Ombudsman (OMB)
Internal Oversight and Evaluation Service (IES)
Staff Association (SA)

Report - Report

Summary of Allegations

* Please provide a brief summary of the allegations that you are making. The purpose of this information is to provide the Investigations Office with a summary of the allegations. While it is not necessary to complete all the fields below, the more information you provide will enable the Investigations Office to make a more accurate determination about the alleged misconduct. Note that a more comprehensive account of the allegations will be requested later in this form.

* 1 What

	- What evidence do you have to prove the allegations? (You may attach documentary evidence for consideration below)<br>- What evidence is missing in order to prove the allegations?<br>- How did you obtain the evidence?<br>- Did PAHO suffer any financial losses?

* 2 How

	- How did the incident happen?

* 3 Where

	- Where did the incident occur?

* 4 When

	- When did the incident happen? If you cannot recall the precise date, please provide a date range.

* 5 Who

	- Please identify who was involved in the incident and any possible witnesses.

* 6 Why

	- Why do you think this incident occurred? Why do you think the perpetrator acted in this manner?

If you have a document or file that supports your report, most common file types can be uploaded:

When you submit the report, you will be issued a Report Key. Please write it down and keep it in a safe place. The Investigations Office will respond to your complaint within 10 business days. We ask you to use this Report Key along with the password of your choosing to periodically return to the website in at least 5-6 business days and again in 10 business days. By frequently returning to the website, you will have the opportunity to review any follow-up questions or requests for additional information from the Investigations Office or submit more information about this incident.

Please choose a password for this report:
* Password:
* Re-enter Password:
Your passwords must match and be at least four characters long.