REPORT FORM - Report a concern or a serious breach of DRC’s Code of Conduct

You may use this form to report a concern or serious breach of DRC's Code of Conduct as well as of other policies applicable in DRC.

Boxes marked with an * must be filled.

Your report will be treated as confidential. You can see, amend and save your report-in-progress during drafting. On clicking 'Submit' you will see your report but you must click 'Submit' again to send it. A copy is then sent to your email address indicated in your report.
All DRC staff have signed DRC's Code of Conduct.

I wish to submit this report formally because

Minor issues and contractual matters should be raised and resolved locally with your management or HR. Only use this form for serious breach of DRC's Code of Conduct or other serious matters.
1. REPORTING PERSON / WHISTLEBLOWER:

Your name(s) and personal data will be known by the Safeguarding & Code of Conduct teams, incl. the relevant investigator(s), and the members of the Intake Committee. They are all bound by a strict confidentiality undertaking. You personal data will not be shared further without your consent (see below).
Full name

DRC also accepts anonymous reports. If you wish to remain anonymous, enter “Anonymous” instead of your full name. Note that anonymity may impact our ability to process and investigate your report. You may therefore decide to share your name safely with the Safeguarding & Code of Conduct teams while refusing it to be shared in further processes (see "consent" below)
Sex

For our statistics we request you to indicate your sex.
Telephone / Whatsapp

We will use this number to communicate with you. The absence of contact details may impact our ability to process and investigate your report.
Skype

We will use this contact to communicate with you. The absence of contact details may impact our ability to process and investigate your report.
Email

We will use this email address to communicate with you. The absence of contact details may impact our ability to process and investigate your report.
Country / Location of the breach or concern

Location of the concern or alleged misconduct.
Your relation to DRC

Please select the correct category.
'Person of concern' includes beneficiaries of DRC and members of the local community affected by DRC's actions.
'Personnel' includes employees, interns and volunteers of DRC
'Partner' and 'Contractor' includes their individual staff members.
Please specify your relation
2. CONTEXT OF YOUR REPORT:

Severe breaches (e.g. sexual misconduct, fraud & corruption, discrimination, workplace harassment, criminal activity and human rights abuse, breach of confidentiality) should be reported directly to the Code of Conduct Reporting Mechanism. They will often merit a formal investigation. Other concerns should be first reported to DRC’s Management, or alternatively to HR.
Reason for submitting your report via DRC online form and not to DRC’s management or HR:

By using this form, you have chosen to report to DRC's CoC reporting procedure in Copenhagen, rather than to your management or HR. Because we will verify your report, it is essential that we know your reasons for NOT submitting your report to DRC's management or HR.
Have you submitted, or will you submit, your report to others outside DRC?:

If your report is submitted to other instances, DRC may contact these in order to establish where your report can be best processed.
If yes, write the name here:
3. ALLEGED MISCONDUCT OR CONCERN
Select the main category:

Select the category of the breach you are reporting about. If your report regards more than one category, select the most important one.
Concise description of the suspected breach of DRC's Code of Conduct:

Please provide as concise details as possible, such as location, time, what happened/happens, who were/is/are involved, witnesses, consequences, etc.:
4. DOCUMENTATION
Have you attached or sent documentation (emails, photos, copies of evidence etc.) to support your description?:
Upload file(s)

Attach Files
Documentation sent by post, courier etc.

Here: List the documentation by name only.
Physical mail must be marked CONFIDENTIAL and sent to:
DRC
The Code of Conduct Reporting Registrar
10, Borgergade
DK-1300 Copenhagen
Denmark
Other evidence, if any, supposed to be available locally for further investigation:

Concise description only. May also include tips for a possible investigation.
5. EXPECTED OUTCOME OF YOUR REPORT:
Please describe briefly what action you expect from DRC to address this matter
6. CONFIDENTIALITY / CONSENT

You name(s) and personal data will be known by the Safeguarding & Code of Conduct teams, incl. the relevant investigator(s), and the members of the Intake Committee. They are all bound by a strict confidentiality undertaking. You personal data will not be shared further without your consent.
Do you agree with the sharing of your identity in further processes?

DRC’s Safeguarding & Code of Conduct teams will use their best endeavors not to reveal your identity during interviews or recollection of evidence unless this is strictly necessary to effectively progress the investigation. Further, please understand that when interviewed, subjects of concern are likely to deduce your identity.
If you refuse to consent, please briefly explain why
7. ACCEPTANCE OF CONDITIONS:

Read the Code of Conduct Reporting Mechanism Procedure
Read the Code of Conduct Reporting Mechanism GDPR Statement
I acknowledge that all information I have shared and that I will share in the following process will be treated with the utmost confidentiality. Information will be shared only with a limited number of individuals from the organization, on a need-to-know basis.

I acknowledge that I have myself a responsibility to maintain confidentiality regarding all aspects of the matter I have reported and I accept to hold all information in confidence.

I acknowledge that all information I have shared and that I will share in the following process will be treated with the utmost confidentiality. Information will be shared only with a limited number of individuals from the organization, on a need-to-know basis.

I acknowledge that I have myself a responsibility to maintain confidentiality regarding all aspects of the matter I have reported and I accept to hold all information in confidence. I accept
Withholding of relevant information may result in rejection of my report. Willful submission of false information may result in disciplinary and/or judicial steps against me.

Withholding of relevant information may result in rejection of my report. Willful submission of false information may result in disciplinary and/or judicial steps against me. I accept
By submitting this report. I accept that it will be processed according to DRC’s Code of Conduct Reporting Mechanism and GDPR Procedures.

By submitting this report. I accept that it will be processed according to DRC’s Code of Conduct Reporting Mechanism and GDPR Procedures. I accept

REPORT FORM - Report a concern or a serious breach of DRC’s Code of Conduct

REPORT FORM - Report a concern or a serious breach of DRC’s Code of Conduct

1. REPORTING PERSON / WHISTLEBLOWER:

2. CONTEXT OF YOUR REPORT:

3. ALLEGED MISCONDUCT OR CONCERN

4. DOCUMENTATION

5. EXPECTED OUTCOME OF YOUR REPORT:

6. CONFIDENTIALITY / CONSENT

7. ACCEPTANCE OF CONDITIONS: