Notification form

Tell us about yourself

Name *

Position *

Public sector organisation *

Email address *

Notification type

Select from the options below *

Initial notificationFinal notification

Your reference number

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Additional Document #1

Additional Document #2

Has this matter been reported to Tasmania Police?

• Yes
• No

Tell us about the person who is alleged to have committed misconduct

Name

Position

Who raised the complaint?

In relation to the complaint:

• The complaint was made anonymously
• Unknown / Not applicable

Name

Public sector organisation (if relevant)

Position (if relevant)

Misconduct information

Please provide a summary of the alleged misconduct

How is this misconduct?

Misconduct is defined by section 4 of the Integrity Commission Act 2009. It includes conduct, or an attempt to engage in conduct, that potentially involves a public officer. Select all that apply.

• Breaching a code of conduct
• Using their powers or role in a dishonest or improper way
• Misusing workplace information
• Misusing public sector resources
• Working to prevent another officer from effectively carrying out their duties
• Having committed a crime or a serious offence
• Being terminated from their employment as a result of the misconduct
• Other

Other If you selected ‘Other’ above, please define.

Further details

Provide details of proposed actions including any additional timeframes