Public Integrity Complaint Form

Please clearly describe the violation that you would like to bring to the attention of the Attorney General's Office, Public Integrity Division. Describe the nature of the incident, the date where the incident occurred, names of any witnesses and alleged wrongdoers, and their contact information.

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Please include COPIES of any supporting documentation. We cannot accept original documents.

Are you currently represented by an attorney? Yes No *

If yes, please provide your attorney's name and contact information:

Have you filed a lawsuit or complaint in this matter? Yes No *

PLEASE NOTE THAT SUBMITTING THIS FORM HAS NO EFFECT ON ANY STATUTE OF LIMITATIONS OR OTHER FILING REQUIREMENTS THAT MIGHT APPLY TO ANY PERSONAL CLAIM YOU MAY HAVE.

FURTHER, SUBMISSION OF THIS FORM DOES NOT EQUATE TO THE COMMENCEMENT OF A LAWSUIT OR OTHER LEGAL PROCEEDING ON YOUR BEHALF. 

By signing below, I certify that the above and foregoing is true and accurate to the best of my knowledge.

Signature: *                               Date:

By typing my name above, I am signing this document electronically. I agree that my electronic signature is the legal equivalent of my manual/handwritten signature on this document and confirm I am the above stated individual.