Whistleblower Protection Acknowledgment Form

Whistleblower Protection Acknowledgment Form — Form Fields

This hr template includes 8 fields. Inform employees of whistleblower protection policies and collect acknowledgment of receipt and understanding. Free to customize and use on ZenBuild.

• Employee Full Name (text, required)
• Employee ID (text, required)
• Work Email (email, required)
• Department (text, required)
• Date (text, required)
• I acknowledge that I have (all must be checked) (checkboxes, required) — options: Received and reviewed the whistleblower protection policy, Understand the process for reporting concerns, Understand that retaliation is prohibited, Know how to contact the compliance hotline or HR
• Do you have any current concerns you would like to report? (multiple choice, required) — options: Yes - please contact me, No
• If yes, briefly describe (HR will follow up confidentially) (long text, optional)