Anonymous Complaint

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Confidentiality Preference

Complaint

* Indicates Required Fields

Please, correct the following errors:

Exchange or Facility Involved:*

Briefly provide details of your complaint (you may also attach documents):*

Names of Wrongdoers:

Names of Victims:

Date(s) when the event(s) occurred:

Names of witnesses:

Has this matter been previously reported ?

Yes No

If yes, please provide the dates and who you reported it to:

Have you contacted the IG about this issue before?

Yes No

If yes, please provide date contact was made and to whom:

What do you want the IG to do for you?

Please submit any accompanying documents by first clicking on "Attach Documents" below; then click on "Browse..." to search for files.

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