Doe - Confidential Whistleblower Report Form

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This form is designed to securely and confidentially report potential violations of ethical conduct, legal requirements, or company policy at doe.so. All submissions are treated with the highest degree of discretion, in line with our SOC 2 Type II commitment to confidentiality and integrity.

Reporter Status (Confidentiality Statement)

I wish to report this anonymously (Note: Anonymity may limit follow-up capability, but confidentiality is maintained for all reports).

I am submitting this report confidentially and am providing my contact information for follow-up (Contact information will only be shared with the designated SOC 2 compliance officers and internal investigation team).

Clear selection

Contact Email (If submitting confidentially)

Date the incident(s) occurred or were observed

YYYY

Time of incident (If applicable and known)

Time

Location where the incident occurred (e.g., specific office, remote interaction, system/platform name)

Nature of the Incident/Violation

Financial Misconduct (e.g., fraud, embezzlement, improper accounting)

Security/Integrity Violation (e.g., unauthorized data access, system manipulation, data loss)

Confidentiality Breach (e.g., unauthorized disclosure of sensitive PII, client data, or proprietary information)

Unethical or Illegal Conduct (e.g., harassment, discrimination, violation of law or regulation)

Violation of Company Policy/Code of Conduct (Other)

Other (Please specify in the incident description)

Detailed Description of the Incident

Who was involved in the incident? (Please list names, roles, or departments if known. Use initials or generic descriptions if necessary to protect yourself or others.)

How long has this issue been occurring, or was it a one-time event?

Have you reported this incident to anyone else within doe.so previously?

Yes, internally (e.g., Manager, HR, Legal)

No, this is my first report

Yes, externally (e.g., law enforcement, regulatory body)

Clear selection

If you reported it internally, when and to whom?

Do you have any supporting evidence (documents, emails, screenshots, logs, etc.) related to this report?

Yes

Clear selection

In your opinion, how severe is the potential impact of this incident on the company and its SOC 2 compliance goals (Security, Availability, Processing Integrity, Confidentiality, and Privacy)?

Minor Impact

Critical Threat

Clear selection

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