Confidential Reporting Form

Cariloop is committed to fostering a respectful, inclusive, and safe environment. This form allows you to confidentially report any concerns you may have. Reports can be submitted anonymously or with your identifying information, depending on your preference. All submissions will be promptly reviewed and addressed in accordance with Cariloop’s Confidential Reporting Policy.

Instructions:
- Complete the form below to provide details about your concern.
- Or, if you prefer to report your concern directly, you may contact the General Counsel, Carly Le Riche (cleriche@cariloop.com).
- Fields marked with an asterisk (*) are required.

Confidentiality and Non-Retaliation

Cariloop is committed to protecting your confidentiality to the fullest extent possible and strictly prohibits retaliation against anyone who reports a concern in good faith. If you experience retaliation, please report it immediately.

By submitting this form, you affirm that the information provided is accurate to the best of your knowledge.

Thank you for helping to maintain a safe and respectful workplace at Cariloop.

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Name (optional)
Contact Information - email or phone (optional)
Type of Concern (please select the option that best describes your concern): *
Date(s) of Incident(s) *
Location of Incident(s) *
Description of Concern:
Please provide as much detail as possible about your concern, including what occurred, who was involved, and any supporting information or documentation. *
Have you reported this concern to anyone else? *
If yes, please specify who and when:
Desired Outcome (Optional)

Please describe what resolution or outcome you hope to achieve by submitting this report:

 *
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