Inspector General Personal and Fraud, Waste & Abuse Complaint Registration

Name or Anonymous

(Last, First, Middle, Suffix) or Anonymous

Grade/Rank

Please indicate your grade or rank, if you have one. People who are not government employees may disregard this question.

E-1E-2E-3E-4E-5E-6E-7E-8E-9O-1O-2O-3O-4O-5O-6GeneralGS-1GS-2GS-3GS-4GS-5GS-6GS-7GS-8GS-9GS-10GS-11GS-12GS-13GS-14GS-15SESOtherNot Applicable

Status

Active, Reserve, Guard, Civilian Employee, Civil Air Patrol, Not USAF Employee

ActiveReserveGuardCivilian EmployeeCivil Air PatrolNot USAF Employee

Organization

Please list your Major Command or Organization

Air Combat CommandAir Education & Training CommandAir Force Global Strike CommandAir Force Materiel CommandAir Force Reserve CommandAir Force Space CommandAir Force Special Operations CommandU.S. Air Forces Central CommandAir Mobility CommandAir National GuardPacific Air ForcesU.S. Air Forces in Europe and Air Forces AfricaDRUFOASAFHAFOtherNot Applicable

Date

Please list the date you became aware of the issue(s).

Open the calendar popup.

Home Phone

Please enter your home phone number here using only numbers. Please include your area code.

Cell Phone

Please enter your cell phone here using only numbers. Please include the area code.

Work Phone

Please enter your work phone here either DSN or commercial, using only numbers. If you list a commercial number, please include the area code.

Email

Please enter the email address where you want the response sent.

Have you asked your immediate supervisor or commander for assistance with this issue

check = yes; no check = no

Have you filed this complaint with Congress or another IG

check = yes; no check = no.

When did the issue occur

Description of allegations/issues: To assist in describing the issues, please answer the following questions.

Where did the issue occur

To assist in describing the issue(s), please answer all questions.

Who took action on the issue in question

For example, the person who responded was Maj. John A. Smith, XXSQ/CC

What did the person (or people) who took action do

For example, they have a letter of reprimand or wasted resources.

To whom did the action happen

For example, the complaintant, Sgt Smith received a letter of reprimand.

What law or regulation or policy was violated

For example AFI 36-1803 or 10 U.S.C. etc

What remedy is being sought

What solution do you hope to achieve?

Names or positions of witnesses

List information about the people who have knowledge of your allegations.

I do or do not consent to the release of my name to agencies outside the IG system under an For Official Use Only policy to facilitate resolution of my complaint. I understand the failure to authorize release may preclude timely resolution of my issues.

DODO NOT

I certify that all of the statements made in this complaint are true and complete and correct to the best of my knowledge and belief. I understand that a false statement or concealment of a material fact is a criminal offense punishable under Article 107 of the UCMJ or 18 U.S.C. 1001 by a fine up to $250000 or imprisonment of up to five years or both.

Signature of Complainant. By typing your name here, you are acknowledging your electronic signature of this form.

Today's Date

Indicate the date the form was completed.

Open the calendar popup.

Security Code

Enter the code shown above in the box below

U.S. Air Force

IG Personal and Fraud Waste & Abuse Complaint Registration