This document is a questionnaire for reporting corporate misconduct. It asks for details about the type of misconduct, the company involved, location of the incident, and a description of what happened. It also requests contact information and allows the upload of supporting documents, with the purpose of collecting a financial reward for reporting misconduct.

1. Report Misconduct Now.<br /> Are you reporting misconduct by a corporation or employees of a corporation?<br />q Yesq No<br />Does the misconduct involve the following? (Identify all that apply).<br />q Briberyq Fraud q Theft q Other<br />If Other, please describe misconduct<br /> <br />What is the name of the company involved? <br /> <br />Where did the incident occur? (City, Country)<br /> <br />Please describe the misconduct.<br /> <br /> Please provide an email address so we can contact you in the future regarding how you can collect your financial reward. (required)<br />Enter Email<br />Confirm Email<br />Upload Relevant Documents<br />If you have any documents supporting or relating to the misconduct, please upload the documents now. By way of example, some people upload emails, contracts, spreadsheets, Word documents, PDF files, Power Point presentations, and sales and financial data in order to support their claim. To upload, click on the upload box below. You will then be able to upload any document saved to your computer. <br />Browse<br />Browse<br />Browse<br />Browse<br />Browse<br />Once you have completed the questionnaire and uploaded your supporting documentation (if you have any), please press the SUBMIT button below. An ACA representative will contact you regarding your submission at the email address you provided above within 3 days.<br />Submit<br />