Town of West Boylston, MA - Fraud, Waste & Misuse Complaint Form

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Fraud, Waste & Misuse Complaint Form

Town Administrator

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	Complete this Complaint Form if you wish to submit a complaint to the Town Administrator's Fraud & Waste Hotline Program. To help us review and evaluate your information for appropriate action, please provide detailed information regarding the nature of the allegations. Provide the full name of the person(s)s involved, where, when and how often the activity has occurred. As well, please provide the names of other persons who may be aware of this activity. If you wish to remain anonymous, you can download this form and mail it to the Town Administrator's Office at 127 Hartwell Street.

Please provide the following information:

Field Description	Field Data	Required Field
Name:		required
Email:		required
Address:
City:
State:
Zip:
Phone:
Alt Phone:

Date incident(s) occurred (mm/dd/yyyy):

Suspected Person(s) Involved:
Name, Telephone number, Department and/or Address

Description of your complaint:
(What, where, when, how and who else may be aware of the incident.)

The personal information you choose to provide on this form is collected under the authority of the West Boylston Town Administrator and will be used to assess the information provided, for contact purposes if clarification is required (subject to contact information being provided) and investigate as appropriate. Questions about this process can be directed to the West Boylston Town Administrator’s Office, Town Offices, 127 Hartwell Street, Suite 1000, West Boylston, MA 01583. Office Hours: Monday-Friday 8:00-4:00. Phone 508-835-3490 Fax 508-835-4102

Town of West Boylston 127 Hartwell Street, Suite 100, West Boylston, MA 01583
Phone: 508-835-6240 Fax: 508-835-4102

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