Current Contact Permission Complaint Information Complete Please fill in as much information as possible. Mandatory fields are identified by an asterisk (*). Please choose one (Required) If necessary, you may contact me for additional information, but please keep my name confidential and do not share it outside of the Office of Inspector General. If necessary, you may contact me for additional information and I do not place any restrictions on the release of my contact information. I wish to remain anonymous. Anonymous Agreement I understand that my decision to elect anonymity may limit the OIG's ability to conduct and inquiry (if one is warranted) or thoroughly review and/or resolve the allegations in the complaint. I understand that information provided anonymously may be referred to another agency if the OIG determines action by another agency is warranted. Contact Information Name Email Phone Address City/Town State/Province - None -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming ZIP/Postal Code Leave this field blank