Reporting Form

The City of Edgewater’s [“City”] Ombuds program is a confidential ethics incident reporting line you may use to report misconduct within the City (such as harassment, discrimination, or ethics violations).  This reporting system can be either anonymous or the party can identify themselves.  The City takes the reporting of incidents very seriously and thanks you in advance for your report.

    Your Name:

    Email:

    Phone:

    [group employee-selected]Your Department:
    [/group]
    [group other-selected]Please Specify:
    [/group]

    What happened? Describe the incident:

    Date of occurrence:

    Time:

    Location:

    Witnesses:

    Other parties involved, if applicable:

    What remedy/resolution are you seeking?

    You will receive a confirmation email once you hit the submit button. If you have supporting documents to upload for this incident, please reply to the email and attach them accordingly.