An ethics complaint form lets employees, and sometimes vendors, report a suspected breach of the company's code of conduct, such as an undisclosed conflict of interest, accepting gifts, bribery, data misuse or favouritism in vendor selection. It goes to the ethics committee or compliance officer rather than the line manager.
Use this form to report a suspected breach of the Code of Conduct. You may remain anonymous. Submit to [Ethics Email] or the sealed ethics box at [Location]. Sexual harassment complaints should be made to the Internal Committee.
Reporter (optional)
Name
Employee ID / Vendor Code
Department
Contact (email / phone)
I wish to remain anonymous (Yes / No)
Type of Concern
Undisclosed conflict of interest
Gifts, hospitality or cash against policy
Bribery or kickbacks
Favouritism in hiring or vendor selection
Misuse of company assets
Data privacy or confidentiality breach
Falsification of records or expenses
Other code of conduct breach
Details
Person(s) involved (name, role)
Business unit / location
When did it happen or start?
Describe the concern
Approximate value involved (₹ [Amount])
How did you come to know?
Evidence available and where it can be found
Others who may have information
Declaration
I make this report in good faith. I understand the Ethics Committee will review it confidentially and impartially, that I am not expected to investigate myself, and that the company prohibits retaliation against anyone who reports a genuine concern.
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Frequently asked questions
What is an ethics complaint?+
A report of suspected breach of the company's code of conduct, such as conflict of interest, bribery, gifts, fraud or data misuse.
How is an ethics complaint different from a whistleblower complaint?+
They overlap. Ethics complaints cover code of conduct breaches generally, while whistleblower channels are often reserved for serious wrongdoing like fraud or legal violations.
Can I report an ethics issue anonymously?+
Yes, the form allows it, though providing a contact helps the committee ask follow-up questions.
This form is used to report conduct that you believe breaches company rules or the code of conduct. All complaints are treated confidentially. If your complaint relates to sexual harassment, please approach the Internal Committee directly as per the company's POSH policy.
1. Complainant Details
Employee Name
Employee ID
Designation
Department
Work Location
Contact Number
Preferred mode of contact
2. Person(s) Complained Against
Name
Designation / Role
Department or Organisation (if vendor/customer)
Relationship to you (colleague, supervisor, vendor, other)
Anyone working at this site may use this form. You may give your name or leave it blank. For complaints of sexual harassment please contact the Internal Committee: [IC Presiding Officer Name], [Phone].
This disclosure is made under the company's Whistleblower / Vigil Mechanism Policy. Mark the envelope 'Protected Disclosure – Confidential' or email [Vigilance Email]. Your identity will be protected.
1. Whistleblower Details (kept separately and confidential)
Name
Employee ID
Designation / Department
Safe contact
I wish to remain anonymous (Yes / No)
2. Nature of Wrongdoing
Financial fraud or misappropriation
Manipulation of accounts or records
Violation of law or regulation
Falsification of safety, quality or test data
Abuse of authority
Leak of confidential or price-sensitive information
Use this form to formally raise a work-related grievance. Please write clearly and attach any supporting documents. Complaints of sexual harassment must be submitted to the Internal Committee under the company's POSH policy and not on this form.