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Whistleblowing Letter - Template, Sample Form Online

✓ Valid in United Kingdom

Create your Whistleblowing Letter - Template, Sample Form Online for use in United Kingdom. Answer a few plain-English questions and the document fills in automatically as you go — then download it in Word and PDF, ready to sign or share.

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Whistleblowing Letter - Template, Sample Form Online
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Dear ________,

WRONGDOING IN THE WORKPLACE


I am writing to you to report a whistleblowing concern. I report this concern in accordance with Part IVA of the Employment Rights Act 1996. I have also consulted the employee whistleblowing policy.


Relevant Facts

The concern which I wish to report to you took place on ________. On this occasion, an incident took place at ________ involving: ________

Here is a summary of the incident:

________

There were not any other witnesses to this incident.


Protected Disclosure

I make this disclosure as a protected disclosure in accordance with whistleblowing laws. I disclose the information to you because I believe that it is in the public interest for me to do so. The information shows that a criminal offence has been committed, is being committed or is likely to be committed.

I am also concerned that attempts have been made to cover up the above wrongdoing.

Please treat this letter and its contents as confidential. If you require any further information from me, or wish to discuss this matter further, please do not hesitate to contact me.


Yours sincerely,

________

Fields you complete are inserted into the document live. This template is general guidance only — not legal advice.