An Incident Using The Form Below:
You can remain anonymous or submit your details.
Once you have
submitted the form please make a note of the reference
number to track the outcome/progress of the incident.
select the client you would like to report the incident
ACSA - email@example.com
Bloemfontein Water - firstname.lastname@example.org
Brand South Africa - email@example.com
CCMA - firstname.lastname@example.org
City of Cape Town Hotline - email@example.com
Compensation Fund - firstname.lastname@example.org
Cape Peninsula University of Technology - email@example.com
Dept of Environmental Affairs - firstname.lastname@example.org
Ditsong - email@example.com
Dept of Public Enterprises - firstname.lastname@example.org
Eskom Pension Fund - email@example.com
Film & Publication Board - firstname.lastname@example.org/option>
Government Employees Medical Scheme (GEMS) - email@example.com
gepf - firstname.lastname@example.org
Harmony Gold - email@example.com
Ithala - firstname.lastname@example.org
JHC - email@example.com
Liberty - firstname.lastname@example.org
Mango Airlines - email@example.com
mowana - firstname.lastname@example.org
National Health Laboratory Service - email@example.com
NPA - firstname.lastname@example.org
NSFAS - email@example.com
Premier FMCG - firstname.lastname@example.org
RAF Ethics - email@example.com
Nexia SAB&T - firstname.lastname@example.org
SARS - email@example.com
Sebata Holdings - firstname.lastname@example.org
Small Enterprise Finance Agency - email@example.com
Sentinel - firstname.lastname@example.org
FP&M SETA - email@example.com
Transalloys - firstname.lastname@example.org
Tshikululu - email@example.com
Unemployment Insurance Fund - firstname.lastname@example.org
United Manganese Kalahari - email@example.com
Universal - firstname.lastname@example.org
1. What type of concern do
you want to report?
(Unethical Behaviour or Service Delivery
2 . Please give as much detail about the
2.1 What happened?
2.2 When did it happen?
2.3 Where did it happen?
2.4 Who are the persons/organisations involved?
(Name / surname / gender / nicknames / designations
and employer / contact details / company or CC’s names
and particulars / any personal particulars)
2.5 If a customer or supplier is involved, full details
(name, reference number on CLIENT database if available
etc.) if available?
2.6 If the suspect is an employee, who does he/she
7 What is each person’s role in the suspected
2.8 Do you know how much money is involved? An estimate
2.9 Do you know of any relations between the person(s)
involved and a CLIENT employee? If so, elaborate.
3. It is not necessary for you to prove your suspicion.
However, if you can provide us with any proof, it will assist
us a great deal in investigating the matter successfully.
Do you have any proof/evidence or documentation at your
disposal? (Yes or No)
4. Is there a possibility that any other
person may have knowledge of the suspected irregularity,
or evidence at his/her disposal?
If so, what is his/her name, designation, employer,
contact details, work address etc.)
5. Have you reported this matter to any other
authority? E.g. SAPS, another CLIENT employee etc.?
6. Do you know of any reason why any person may not
assist us in following up this report?
7. Would you like us to provide you with feedback
on the matter? (Yes or No)
8. Do you wish to remain anonymous?
have the right to remain completely anonymous. However,
it may assist the investigator if you make yourself available
for an interview, to obtain more information. By giving
your name and contact details to us, it will still remain
confidential and may only be disclosed if an investigation
is approved (and not CLIENT) if you wish. However, it is
still your choice.
are willing to identify yourselves, you may select the mode
of communication with the investigators. What particulars
are you willing to disclose?
Client - Employer Position:
What are the most convenient times to contact
Is there anything you would like to add,
or any comments we must record?