Required fields are denoted by *

To be completed by an internal reporter. Once completed, this form will be submitted to the Disclosures co-ordinator.

Are you a public official. * A public official is an individual who is an employee of or otherwise in the service of a public authority for example a Council employee.

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Do you wish to make a public interest disclosure under the Public Interest Disclosure Act 1994? * The Public Interest Disclosure Act provides protection for public officials disclosing corrupt conduct, maladminstration, waste, government information contravention and local government pecuniary interest contravention in the public sector.

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Do you wish to provide your personal details? Providing your details will allow us to acknowledge your report. It will also help us contact you should we require further information. It is important to note that an anonymous disclosure may not prevent you from being identified. If Council does not know who made the report, it is very difficult to prevent any reprisal action should others identify you.

Preferred method of contact?

This field is limited to 10,000 characters. if you need more space, you can upload a document - see below.

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Have you previously reported this issue? *

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Declaration

I honestly believe that the reported information shows or tends to show wrongdoing.

Privacy Protection Notice
Purpose: To review a report about suspicions, concerns or allegations of wrongdoing at Sutherland Shire Council
Intended recipients: Sutherland Shire Council Public Interest Disclosures Co-ordinator.
Supply: Voluntary.
Access / correction: Disclosures Officer pid@ssc.nsw.gov.au