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Misconduct (Whistleblower) Disclosure form

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Misconduct (Whistleblower) Disclosure

Are you an eligible person?(Required)
Please note: An 'eligible person' includes: Employees, and any other person associated with employees. Contractors, consultants, service providers, suppliers, business partners and volunteers. Former employees.
Do you want your report to remain anonymous?
To ensure this information is not sent to any person involved, please indicate which (if any) staff roles may be included in your concern
Have you contacted anyone else in relation to the misconduct?

Please provide details relating to the misconduct

Please include:

  • - What happened
  • - When did it happen
  • - Where did it happen
  • - What type of misconduct
  • - How did you become aware of the concern
  • - Are you aware of any other witnesses to the concern?

The following are some types of misconduct that should be reported:

  • - Fraud
  • - Illegal activities
  • - Corruption
  • - Dishonesty
  • - Unethical acts
  • - Creating an unsafe environment
  • - Acting outside of policy, procedure or code (e.g. a Code of Conduct)
  • - Discrimination
  • - Any conduct that is detrimental to and could cause financial or non-financial loss
Do you have any supporting evidence?
Are you aware of any supporting evidence that may be available?

Your details

You do not have to provide your details. You may respond with an alias and provide an email address or phone number that does not identify you. However, anonymous disclosures may affect the ability for the misconduct to be investigated fully and for you to receive appropriate protection and support.

It is recommended that you provide enough information to allow for two-way communication so that we can ask follow-up questions or provide feedback.

Any personal information that you supply is collected by Autism SA so that we may take appropriate actions and contact you in relation to your misconduct disclosure. We are committed to doing our utmost to protect your identify. The nature of your report or the law may compel us to disclose your identity. We may also provide your information to third parties where required by law or so that such third parties may provide us with services in connection with our investigation. Please refer to our Whistleblower Policy for further details. By providing your information to us you consent to your information being disclosed or used for this purpose. We will take reasonable steps to ensure that such third parties deal with your information appropriately and only for the purposes relating to the investigation of the Misconduct Disclosure. Our Privacy Policy explains how you can contact us to access and correct your personal information or make a privacy complaint.

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