RAC-whistle blowers reporting form
Date of reporting *
fill out this form
MM
/
DD
/
YYYY
Full Names
Enter your full names above, Optional
Your answer
Gender *
Choose your Gender from the list below
Telephone Number *
Provide a telephone contact on which we can give you feed back
Your answer
Sub-county
Provide the name of your subcounty
Your answer
District
Choose the name of your district from the list below
Issue details *
Briefly give the details of the issue your whistle blowing on
Your answer
Money Value
estimate this issue in terms of money, by giving a cost
Your answer
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