Reporting formWebMaster2025-02-06T14:18:45+02:00 Română English Deutsch Italiano REPORTING FORMfor breaches of the law and / or internal regulations DATA OF THE REPORTING PERSON 1. Name and surname: 2. Personal identification (ID) number: 3. Contact methods: Email: Phone: By post, to the address: I do not wish to be contacted Reports on breaches of the law and/ or internal regulations can be made nominally or anonymously: - In the case of a nominal report there is the possibility to communicate between the reporting person and the designated person in order to clarify certain aspects included in the report; - The person who reports anonymously and does not provide contact data or does not wish to be contacted will not be able to be informed about the registration of the report, its progress, or the method of settlement. INFORMATION ABOUT THE REPORT 4. Person subject of the report: (name, surname, position, company/ department – if known): * 5. Persons who can confirm the report – if any: 6. The work-related context in which the information was obtained: * 7. Description of the fact (presentation of the data and/ or evidence supporting this report): - Description of the fact - The date/ period when it occurred - How, by what means - Why – presumed reason 8. What laws or regulations do you consider to be have been violated? 9. State the documents that can be verified during subsequent actions: 10. List of the documents enclosed as evidence: I CONSENT TO the processing of my personal data, in accordance with the Regulation (EU) 2016/679 on the protection of natural persons with regard to the processing of personal data and on the free movement of such data. YESNO I CONSENT TO the disclosure of my identity to other persons except the designated persons, if this is necessary for the investigation of the reporting. YESNO Date: Signature (optional): Enter the code on the right in the box next to it *
