Warning: Use of the on-line complaint form below is done at your own risk.
We can not guarantee your
privacy because your on-line complaint has not been encrypted for transmission to
us. By using the form below to
submit your complaint via the Internet, you acknowledge that your privacy is not
guaranteed and are doing so at
your own risk. If you are not comfortable submitting your complaint through these
means, we recommend you
contact us by telephone at (703) 428-1045 or toll-free at 1-866-301-2003 to discuss your complaint with an
investigator.
Telephone lines are open Monday through Friday, from Midnight - 8:00 a.m. (EST)
8:00 a.m. - 4:00 p.m. Baghdad. Of course, you may always mail your complaint to the
Coalition Provisional Authority, Office of the Inspector General Hotline 400 Army
Navy Drive Arlington VA, 22202 or fax to (703) 428-0752.
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| * Fields with an asterisk by them are necessary in order
to respond to your request. |
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| * Will you remain
anonymous? |
Yes (If yes, do not identify
yourself below.)
No
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| * If no, do you want
confidentiality? |
Yes (If yes, identify yourself
below. We will not release you name without your consent)
No
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| * Are you willing to be
interviewed? |
Yes
No
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| * Would you like to be
contacted? |
Yes (If yes, you must enter either
your home or work telephone number
and email address)
No
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Last/Family Name:
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Middle Initial:
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Mailing Address
Street:
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| Organization Name:
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| Home Telephone:
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| Work Telephone:
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| E-Mail Address:
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| * Complaint Information: |
| (who, what, when, where, why and how) |
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| What other action have you taken regarding
this complaint? |
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