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Misuse of Funds/Misconduct Form
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Misuse of Funds / Misconduct Form
This form was created so that the misuse of COMBAT funding by outside agencies and/or Jackson County Departments could be reported to the COMBAT administration. Other forms of alleged misconduct by COMBAT-funded agencies can also be reported using this form.
If preferred, reports can be filed by calling 816-881-4337.
REPORTS CAN BE SUBMITTED ANONYMOUSLY
County Department Or Agency
Are you reporting the misuse of funds or misconduct by a outside agency or Jackson County receiving COMBAT-funding?
Jackson County Department
Identify the County Department involved in the alleged misuse of COMBAT funds.
List any individuals in the department directly involved in the alleged misuse of COMBAT funds.
Identify the agencey involved in the alleged misuse of funds and/or miscondcut.
List any individuals directly involved in the alleged misuse of funds and/or misconduct.
Describe Misconduct and/or Misuse of Funds:
Provide details of the alleged fraud, waste, misconduct, etc. Include any informatin you believe may be relevant.
Are you aware of any attempts to hide the misconduct?
Please describe attempts to hide the misconduct:
How and when was the misconduct discovered?
How do you know about this allegation?
Amount of money involved:
When did misconduct or misuse of funds begin?
Is the misconduct/misuse ongoing?
When did misconduct/misuse end?
Documents or Other Evidence
List or describe any documents or other evidence you or others may have that is relevant to the alleged misconduct/misuse of funding.
List names and contact information for other witnesses who can corroborate allegation and/or provide additonal information.
I choose to remain anonymous
I understand that this means COMBAT staff will not be able to contact me if additional information is needed from me, nor will I be able to request the status of the report I am submitting.
I choose to remain confidential
You may contact me for additonal information, but please keep my name confidential and do not share it outside the COMBAT or Jackson County Prosecutor's Office.
I am NOT requesting confidentiality or anonymity
You may contact me for additional information, and I do not place any restrictions on the use of my name.
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