Application form - Polish Post

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Applicant's details

Name*

Last name*

Place of employment*

Company Name

Job position

Report from PP SA*

Email address*

Phone

Data of the persons concerned by the report

Details of the persons concerned by the report (possibility of adding several people)

Person/persons reported

Name

Last name

Place of employment

Position

Role in the incident

Details of the entity involved in the event

Name*

Last name*

Place of employment

Position

Role in the incident*

Details of the entity involved in the event

Area of violation

Description of the violation*

Describe the scope of the violation that is the subject of your report. Provide the circumstances of its occurrence, to the best of your knowledge:

What actually happened?
Where and when did the violation occur?
How did the breach occur?
What was the development of events (chronologically)?
Why do you think there was a violation?
What could have been the motives of those involved in the case?
What consequences do you believe the violation described in the report caused?
Before reporting the violation, did you take any steps to eliminate the identified violation or its consequences (e.g., by reporting it to your superiors)? If so, please specify.

Attachments

File Upload Ability:
Select one or more files. Allowed file formats are: .pdf, .docx, .doc, .jpg, .png, .bmp, .txt, .xlsx, .xls, .csv, .msg, .mp4, .mp3, .jpeg, .avi, .mov. Single files cannot exceed 10 MB in size; you can add files up to 100 MB in total.

Drop files here or

Accepted file types: pdf, docx, doc, jpg, png, bmp, txt, xlsx, xls, csv, msg, mp4, mp3, jpeg, avi, mov, Max file size: 10 MB.

Consent verification

Do you consent to the disclosure of your personal data provided in connection with the report to persons other than those authorized by PP designated for activities related to receiving reports and taking follow-up actions in connection with them?*

Yes, to an unlimited number of people

Yes, but only to the people I specify

NO

Indicate people*

captcha*

Whistleblower 2.0

Applicant's details

Data of the persons concerned by the report

Area of ​​violation

Consent verification

Area of violation