OIG Hotline Anonymous Complaint Form

Return to the Disclosure Options When Submitting a Complaint page for more options.

VA employees, VA contractors, and any other HIPAA-covered individuals or entities (e.g., private healthcare providers and insurance providers) should not submit personally identifiable information, protected health information (PHI), or other VA-sensitive information (including patient names) via this web submission form. If submission of VA sensitive information or other PHI is required, please contact the VA OIG Hotline at 1-800-488-8244 to determine how to submit it. Additional information is available on the Hotline FAQ page.

Complaint

VA Office or Facility Involved You may enter up to 500 characters

VA Office or Facility exceeds maximum number of characters.

Alleged legal or policy violation(s) or other misconduct You may enter up to 4,000 characters

Alleged legal or policy violations exceeds maximum number of characters.

Effect of the wrongdoing, such as dollars lost, delay produced, etc. You may enter up to 4,000 characters

Effect of Wrongdoing exceeds maximum number of characters.

Names of Wrongdoers

You may enter up to 500 characters

Names of Wrongdoers exceeds maximum number of characters.

Names of Victims

You may enter up to 500 characters

Date(s) when the event(s) occurred

You may enter up to 500 characters

Dates of event exceeds maximum number of characters.

Names of witnesses

You may enter up to 500 characters

Names of Witnesses exceeds maximum number of characters.

Has this allegation been previously reviewed?

• Yes
• No

If yes, please provide the dates and who did the review

You may enter up to 4,000 characters

Previously Reviewed comments exceeds maximum number of characters.

Have you contacted the VA OIG about this issue before?

• Yes
• No

If yes, please provide date contact was made and to whom

You may enter up to 4,000 characters

Previous Contact comments exceeds maximum number of characters.

Additional Comments

You may enter up to 4,000 characters

Additional Comments exceeds maximum number of characters.

Attachments

Attaching Files

The following file extensions may be uploaded: gif, jpg, jpeg, png, doc, docx, key, pdf, pps, ppsx, ppt, pptx, odt, xls, xlsx, rtf, txt.

Multiple attachments may be selected by holding down the Control key when choosing files. A total of 4 MB (4194304) bytes may be attached.

VA Employees should not send VA medical records or similar VA sensitive records via this portal.

• Go back

Filename	Size
Total File Size:

Sensitive Records

VA Employees should not send VA medical records or similar VA sensitive records via this portal.

Submit Form

By choosing to remain anonymous, the OIG cannot obtain additional information regarding the allegation (e.g., testimonial or documentary evidence; identity of witnesses), and also cannot inform the complainant as to what action VA OIG has taken on the complaint. Return to the Complainant and Identity Release Preference Page for more options.