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Fraud Reporting Form
This form is designed for you to report fraud you have personally witnessed that is occurring at the Tracy Learning Center. This is a serious allegation that the school is required to investigate.

The definition of fraud is "Fraud is defined as an intentional misrepresentation or omission of material fact made by one person to another with knowledge of its falsity and for the purpose of inducing the other person to act, and upon which the other person relies with resulting injury or damage. Constructive fraud may also be found when misrepresentations or omissions occur without intent to mislead but in order to prevent a violation of a public or private trust or confidence, the breach of a fiduciary duty, or the use of undue influence."

Fraud can also be defined as "an undisclosed conflict of interest which results in the pecuniary gain or other benefit to an individual, his immediate family or a business with which the individual or his family member is associated with shall also be reportable."

Please answer all questions below and give more details in the final box. This submission will trigger an investigation and you will be contacted for an interview. If you choose to remain anonymous, there may be insufficient evidence to pursue the investigation.

This report will go directly to the Executive. If your report involves the Superintendent, you should contact the Board President who will be responsible to conduct an investigation.

Email Address
Your answer
Where did you see the fraud happen? *
When did the fraud occur? *
MM
/
DD
/
YYYY
Who was committing the act of fraud? Please list all individuals involved. *
Your answer
Who else witnessed the act of fraud?
Your answer
Is this the first time you have witnessed the fraud occur *
If you answered 'No" above, please describe the other incidents.
Your answer
Please describe in full detail, what you saw. *
Your answer
Please enter your name and contact information. If necessary, you will be contacted through the normal course of the investigation.
Your answer
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