This form should be used to document a matter, as described in the Business Code of Conduct, that you feel needs to be addressed by The Board of Directors or senior management of your company.

Please remember this is a voluntary process and you should supply only information you know is factual. If you would rather speak to one of our specialists who will assist you, please call 844-970-4145. Any questions can be addressed to our service provider, Corporate Compliance Partners (CCP), at dcsc@answernet.com.

This is a confidential, anonymous process established for your protection. However, at the end of the process, you will be asked for your contact information. You are under no obligation to provide it. If you do, only Corporate Compliance Partners will have access to this information, not DC Courts. Only Corporate Compliance Partners will contact you, should additional information be needed to address the matter you are reporting.

After this process is completed, Corporate Compliance Partners will forward a confidential report of this matter to the appropriate parties about which you are providing information.
  1. Which company would you like to provide information about today? (required)

    2. District of Columbia Superior Courts
    District of Columbia Court of Appeals
    District of Columbia Court Systems


  2. Is this the first time you have contacted us about this incident, either through phone, e-mail, fax, letter or the web?
    3. Yes   No

    If yes, provide previous reference number(s), if any. If there are multiple reference numbers, please separate them with commas.


  3. Please describe your relationship with DC Courts about which you are contacting us. Which of the following are you?



    4. If "other," please specify


  4. What type of situation are you going to provide information about today?


  5. Do you know the location(s) where this is occurring?
    6. Yes   No

    Please list the location(s), if any are known.


  6. How many individuals are involved in this situation?

    7. 1
    2-5
    5 or more
    Not sure

  7. Do you know the name(s) of the individual(s) and their position(s) within DC Courts?
    8. Yes   No

  8. Would you provide the name(s) of the individual(s) and their position(s) within DC Courts?
    9. Yes   No

    If yes, please provide as much of the following info (names, contact info, relationship to DC Courts, name of the department s/he works in, if a vendor or contractor state the company for which they work) below.


  9. Please explain, in as much detail as possible, the facts of the incident -- who, what, when, where, why and how -- (required).


  10. Have you discussed this incident with a member of DC Courts?
    11. Yes   No

  11. Would you provide the name(s) of the individual(s), their position(s) within DC Courts, the department s/he works in, and the date(s) you discussed this?
    12. Yes   No

    If yes, please provide manager info including name(s), department(s) and date(s) discussed.


  12. Do you have any documentation, evidence or other material which you can provide or that can be obtained to assist in the review of this matter?
    13. Yes   No

    If yes, please give a description of documentation, evidence or materials. If there is any, please send it to us via one of the following ways:
    Description:


  13. Is there anyone else we can contact who may be able to provide additional information about this matter?
    14. Yes   No

    If yes, please provide their name(s) and contact information.


  14. Would you like to receive feedback about this matter?
    15. Yes   No

  15. This is a confidential, anonymous process established for your protection. You are under no obligation to provide us with your contact information. If you choose to provide it, CCP not DC Courts, will contact you should additional information be needed to resolve an issue. For our records, would you be willing to give your name?
    16. Yes   No

  16. First Name


  17. Last Name


  18. E-mail Address


  19. If necessary, would you allow a representative of Corporate Compliance Partners to contact you during the review process?
    20. Yes   No

  20. By which method would you like to be contacted?


    21. If "other," please specify.



If you are having trouble with the form, please contact dcsc@answernet.com .
You can also speak to one of our specialists who will assist you by calling 844-970-4145 .