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 )

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Organization/Tier:

Equitable

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 Equitable to know your identity, please complete the following:

Your Name:


First Name	Last Name

Your Phone Number:

Your E-mail Address:

Best time for communication with you:

* Please specify your relationship to Equitable Financial Life Insurance Company

If other, please specify.

Report - Alleged Incident

*Please identify the person(s) involved in the alleged incident.

Example:

John Doe, Director of Internal Audit

	First Name	Last Name		Title
#1			-
#2			-
#3			-

Do you believe that a supervisor or manager is involved in the alleged incident?

Yes No Do Not Know / Do Not Wish To Disclose

If yes, then who?

	Any persons mentioned here will be restricted by EthicsPoint from access to this reported information.		Example: John Doe, Director of Internal Audit

Is management aware of the alleged incident?

Yes No Do Not Know / Do Not Wish To Disclose

Please describe the alleged incident.

Where and when did the alleged incident occur?

	We recognize that the alleged incident may not have occurred in a particular location, but rather, may have been observed in documentation, for example. If so, please indicate this accordingly.

Please provide the specific or approximate time that the alleged incident occurred.

Examples:

Tuesday, May 3, 2002
Two weeks ago
Approximately a month ago

* How did you become aware of the alleged incident?

If other, how?

What do you estimate the monetary value of the alleged incident to be?

Please identify any person(s) you believe have attempted to conceal the alleged incident, and the steps they may have taken to conceal it.

	Please identify by name and title.		Examples: Ignored it Changed documents Said it was not a problem Said they would look into it

If you have a document or file that supports your report you may upload it below. Most common file types can be uploaded.

* Please provide all details regarding the alleged incident, including the locations of witnesses and any other information that could be valuable in the evaluation of the alleged incident.

Once you submit this report, you will be issued a Report Key. Please write it down and keep it in a safe place. You can use this Report Key, along with a password of your choice, to return to EthicsPoint through either this website or telephone hotline in 5-6 business days. At that time, you will have the opportunity to review any follow up questions pertaining to your report or submit additional information about the alleged incident, if you so choose.

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