Whistleblowing reporting form

Please email completed form to: whistleblowing@brighton-hove.gov.uk

1. Who are you reporting (name of person/department)?

2. What are your concerns/ what do you want to a report?

3. Do you have any further information?

4. What would you like the Council to do about this?

5. Are you willing to leave your contact details?

These will be kept strictly confidential (unless we receive your consent) and will only be used to assist us to contact you should we require more information.

Name:

Contact telephone number:

Email address:

If you want to know how the process works, please read the Council’s Whistleblowing Policy below.