Whistleblowing reporting form

Please email completed form to: whistleblowing@brighton-hove.gov.uk

1. Who are you reporting (name of person/department)?

2. Why are you making a report?

3. Do you have any further information?

4. What would you like the Council to do about this?

5. Are you willing to leave your contact details?

These will be kept strictly confidential (unless we receive your consent) and will only be used to assist us to contact you should we require more information.

Name:

Contact telephone number:

Email address:

If you have not already done so, please read the Council’s Whistleblowing Policy before making this report.