Citizen Reporting Form

Citizens can file a report with the Office of Inspector General by completing the online form below, or by downloading and printing the Citizen Reporting Form (.pdf) and then mailing or faxing the completed form to:

Office of Inspector General
P.O. Box 43586
Jacksonville, FL 32203
Fax: (904) 630- 8003
Email: InspectorGeneral@coj.net

Online Citizen Reporting Form

Please provide some information about the person(s), department, agency, entity, contractor or vendor about which you are alleging a violation(s) of waste, fraud, misconduct, mismanagement or other abuse.
Who is the subject of your complaint?:
Which government/entity is involved?:
Which department, division or agency is involved?:
Is there a vendor or contractor involved, if so who?:
What is the violation(s) that you wish to report?:
Have you reported this alleged violation(s) to any other authority?:	YesNo
If yes, who?:
When reporting fraud, waste, or abuse, you may remain anonymous if you wish. You are encouraged to identify yourself so that we may follow-up on your complaint via e-mail or telephone, and obtain additional information that may be helpful to our review of the matter. When reporting information to the OIG, please be as specific and provide as much detail as possible. The more information you provide, the better, as it helps determine how we respond to your complaint. Any relevant information or knowledge you acquire after making your report to the OIG should be reported in a follow-up submission.
I request to remain anonymous:	If you have checked this box please skip to the bottom of this form. Do not fill out the identifying information below if you wish to remain anonymous.
If you are not requesting to remain anonymous, please provide the following:
Name:
Home Address:
Daytime Phone:
Evening Phone:

Security Code:

City of Jacksonville

Online Citizen Reporting Form

If you are not requesting to remain anonymous, please provide the following:

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