OPM Office of the Inspector General

Hotline to Report Fraud, Waste or Abuse

This form is for filing complaints with the Office of Personnel Management Office of the Inspector General.
THIS FORM IS INTENDED FOR REPORTING FRAUD, WASTE, AND ABUSE.

Privacy Act Statement

Pursuant to 5 U.S.C. § 552a(e)(3), this Privacy Act Statement serves to inform you of why OPM is requesting the information on this form.

Authority: The Inspector General Act, 5 U.S.C. App. 3, authorizes the audit, investigation, and evaluation of OPM programs and operations as well as the collection of related information. Executive Order 9397, as amended by Executive Order 13478, permits the collection and use of Social Security Numbers (SSNs).

Purpose: The U.S. Office of Personnel Management (OPM) Office of the Inspector General (OIG) will use this information to conduct law enforcement investigations and activities concerning suspected or potential fraud, waste, abuse, and violations of laws, regulations, and policies related to OPM programs and operations. SSNs are used to confirm individuals’ identities and to facilitate certain law enforcement requests.

Routine Uses: The information requested on this form may be shared with OPM personnel as well as externally as a “routine use” to others outside of OPM, including contractors or other law enforcement personnel who need the information to assist in the investigation of OPM programs and operations. Additionally, information may be shared with other establishments in the executive, legislative, and judicial branches of the Federal Government in order to comply with various reporting requirements. A complete list of the routine uses can be found in the system of records notice associated with this form, OPM\CENTRAL-4.

Consequences of Failure to Provide Information: Providing this information (including your SSN) is voluntary; however, failure to provide the requested information may hinder the OPM OIG from thoroughly reviewing and/or resolving the complaint’s allegations. Anonymous complaints may limit our ability to process your complaint as we are not able to contact you for additional information or clarification.

Required information

Complaint Form

Section I

Please choose whether you wish to enter a new complaint or update a complaint:

Complaint Number
Your last name

Complaint Update
Find Complaint Search for a Different Complaint

Complainant Data
How would you like to file your complaint?

Contact Information
First Name
Last Name
Company
Address
City
State
Zip Code
Preferred Method of Communication
Phone Numbers
Home Phone Number
Mobile Phone Number
Work Phone Number
Fax Number
Email Addresses
Personal Email Address
Business Email Address
Retirement CSA/CSF Number
Retirement CSA/CSF Number
Current Status
Status
Are you being retaliated against?	Yes No

Section II

Allegation Information
Is this Allegation against your employer?	Yes No
Allegation Against

Person Information

First Name

Last Name

Business Name

Social Security Number

Date of Birth

(mm/dd/yyyy)

US Citizen

Yes No

Business Information
Business/Group Name
Doing Business As (DBA)
DUNS
Website

Address Information
Address
City
State
Zip Code

Phone Numbers
Home Phone Number
Mobile Phone Number
Work Phone Number
Fax Number

Email Addresses
Personal Email Address
Business Email Address

Section III

Call Center Operator
OPM Office
OPM Program
Allegation Type
FEHBP Member Number
Allegation Details Please include as many details as you know about the alleged wrong doing. At a minimum, provide name, title, and phone number for who did the wrong doing and for the victim.
Add Witness	Yes No

Witness Data
First Name
Last Name
Company
Address
City
State
Zip Code
Preferred Method of Communication
Phone Numbers
Home Phone Number
Mobile Phone Number
Work Phone Number
Fax Number
Email Addresses
Personal Email Address
Business Email Address

Section IV - DOCUMENTS
Add Document Only 10 Documents are allowed

Section IV - DOCUMENTS

Add Document Only 10 Documents are allowed

Section V - Captcha Validation

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Section V - Captcha Validation
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OPM Office of the Inspector General

Hotline to Report Fraud, Waste or Abuse

This form is for filing complaints with the Office of Personnel Management Office of the Inspector General.THIS FORM IS INTENDED FOR REPORTING FRAUD, WASTE, AND ABUSE.

Privacy Act Statement

This form is for filing complaints with the Office of Personnel Management Office of the Inspector General.
THIS FORM IS INTENDED FOR REPORTING FRAUD, WASTE, AND ABUSE.