OSA Fraud Hotline 1 Start 2 Preview Submission 3 Complete FRAUD CONCERN Describe your concern in as much detail as possible so that we may properly evaluate it. Try to answer the basic what, who, when, where, and how questions: What activity occurred that you believe is inappropriate? Who acted inappropriately? Which state agency do they work for or contract with? When did the activity occur or take place? Where did the activity occur or take place? How did the matter come to your attention? Did you observe it, or did you hear about it from someone else? * = required field. General Description * DOCUMENTATION Attach any documentation you have to help substantiate your fraud concern. (Note: You are limited to no more than 5 files, with maximum file size of 5 MB per file. Acceptable file types are limited to .doc, .docx, .pdf, and .jpg formats. Please contact the OSA Fraud Hotline via our phone number or email if you have documentation that exceeds these limitations so we can make alternate arrangements for transmittal.) Attach any documentation you have to help substantiate your fraud concern Files must be less than 5 MB.Allowed file types: jpg jpeg png pdf doc docx. Attach any documentation you have to help substantiate your fraud concern Files must be less than 5 MB.Allowed file types: jpg jpeg png pdf doc docx. Attach any documentation you have to help substantiate your fraud concern Files must be less than 5 MB.Allowed file types: jpg jpeg png pdf doc docx. Attach any documentation you have to help substantiate your fraud concern Files must be less than 5 MB.Allowed file types: jpg jpeg png pdf doc docx. Attach any documentation you have to help substantiate your fraud concern Files must be less than 5 MB.Allowed file types: jpg jpeg png pdf doc docx. CONTACT INFORMATION (optional)You may report to the Hotline anonymously (see Section 2-3-110.5(2)(b)(I), C.R.S.) However, please be aware that anonymous reports without sufficient information or details about the fraud concern cannot be pursued. We encourage you to provide us with your contact information for follow-up purposes, if needed. NAME PHONE NUMBER EMAIL PERMISSION TO DISCLOSE DURING REFERRAL If the OSA determines through its screening process that a Hotline call constitutes an allegation of fraud committed by a state employee or contracted individual, state law requires the OSA to refer the matter to the affected state agency (see Section 2-3-110.5(3)(b), C.R.S.). Because the state agency is ultimately responsible for determining the proper course of action on a referred Hotline call, having your contact information can be beneficial for the agency's subsequent review and investigation of the reported concern. When making a referral to the affected state agency, state law prevents the OSA from disclosing the identity of the individual making the report to the Hotline, unless the individual grants the OSA express permission to make such a disclosure (see Section 2-3-110.5(2)(b)(II), C.R.S.). Please mark the check box next to the statement indicating how the OSA should handle your contact information if referral of your report to the affected state agency is required. Grant Permission I grant the State Auditor permission to disclose my name and contact information to the affected state agency when making a referral. I do not grant the State Auditor permission to disclose my name and contact information to the affected state agency when making a referral. CAPTCHAThis question is for testing whether or not you are a human visitor and to prevent automated spam submissions.