Wasaga Resource Services Whistleblower Hotline

Provided and Managed by Fit4Duty - The Ethical Standard

*If you are reporting an incident that could put any individual, or the public's safety at risk, please consider placing an immediate call to emergency services (911) as opposed to using this reporting form. This form is not intended for emergency situations, and safety must be a priority.

If you would like to review the Whistleblower Policy, it is available for download here.

Do you wish to remain anonymous? There may be times when an investigation cannot proceed due to the anonymity of the Whistleblower. If you have provided your email, this will be communicated to you and you can decide to waive anonymity at a later time.

Yes No Unsure at this point (you will remain anonymous for now)

Name or preferred reference:

This helps the Administrator during follow-up communication. This does not have to be your real name.

Full Name:

Email address

You can still choose to remain anonymous throughout this process even after providing your email. Your email address allows the Administrator to follow-up with you if we require additional information, or to communicate the outcome of any investigation.

Type of Report Please select all that apply for this Whistleblower Report

Misconduct Reprisal Other

Please explain the type of report: (briefly)

Details of the Incident

Throughout this form, you may provide as much detail as possible. The more detail and evidence you provide ensures that the matter can be appropriately investigated. There is a field to supply images, video and/or audio files below, and an additional field at the end to provide any information that was not requested in the form.

Is this the first time you are reporting this incident(s)?

Yes No

If no, please provide details of any previous report(s) you have made regarding this incident (to whom, and the outcome, or whether or not an investigation is ongoing):

Subject(s) of Report: (Who is your report about?)

Please provide the name(s) of the individuals who are the subject(s) of this report. Please include as much information as possible (such as department, if known) or descriptors..

Please tell me if the person you believe committed misconduct was:

An employee Job applicant Contractor Client Other stakeholder (specify below)

Other stakeholder:

Date of Incident

If the incident spanned over several days, please indicate the earliest date, (approximations are acceptable).

Address where incident(s) took place:

Are you aware of any security video at this location which may have captured the incident?

Yes No Unsure

Details of the Incident(s):

Did the incident(s) cause you physical or psychological harm? Or, did you experience a financial loss?

Yes No

To support you during this difficult time, please take note of the following resources which may be available to help you:

Employee Assistance Program 1-800-387-4765
Crisis Services, CMHA Simcoe County 1-888-893-8333
Ontario Provincial Police, Wasaga Beach 1-888-310-1122

Did anyone else witness the incident(s)?

Yes No Unsure

Name of witness(es) if known:

Any information you provide here can be useful. If names are unknown, please provide descriptors and/or area(s) of employment.

Evidence You can add multiple files here such as images/screen captures, digital audio and video files, or any relevant documents..

Add file

Please upload a file

Additional Information:

What would you like to see done about the incident(s) you reported?

Consent for follow-up:

I consent to receive follow-up communication from the Administrator regarding this report, regardless of whether or not I wish to remain anonymous.

I do not consent to be contacted again regarding this report.

Acknowledgement

By clicking this box, you are certifying that the information you have provided in this form is based on your sincere, honest intention or belief that misconduct has been committed by an employee, job applicant, contractor, client, or other stakeholder of Wasaga Resource Services.

Fit4Duty - The Ethical Standard privacy policy can be viewed here.

Your information will be encrypted.

Wasaga Resource Services Whistleblower Hotline

Provided and Managed by Fit4Duty - The Ethical Standard

Details of the Incident

Provided and Managed by Fit4Duty - The Ethical Standard

Wasaga Resource Services Inc.