Complaint
form

Construction. Renovation. Creation.

1. IDENTITY OF THE DEFENDANT

Status :EmployeeMember of managementClientSupplierBusiness partnerOther

Have you ever had a business relationship with Vitrerie P. Latreille Inc. ?YESNO

Have you ever worked with the employee against whom you are filing the complaint?YESNO

What way should we use to contact you? Tel.Cell.EmailMail

2. IDENTITY OF THE PERPETRATOR

Status :EmployeeMember of managementClientSupplierBusiness partnerOther

3. INFORMATION ON THE COMPLAINT

Nature of the complaint

Financial and accounting informationDamage to property or personHealth and safety, environmentTheft, embezzlement, fraudUnethical behaviour and conflict of interestViolation of laws, regulations, policies and proceduresManipulation or falsification of dataOther

Description of the facts

Repetitive eventYESNO

Witnesses

How can we contact these witnesses ?

Evidence

Use this box to list your file that will be attached to this email.

Attach files:

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Your expectations regarding the actions to be taken (optional)

I, the undersigned, attest to the accuracy of the information mentioned above and I agree that this form shall be forwarded to the administrator or the authorities responsible for the investigation to be carried out following this complaint.