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Anonymous reporting form template

Explains how to stay anonymous, asks what happened, when and who was involved, and offers an optional way to get a reply.

9 questions, 2 shown only when they apply. Question types: consent box, long answer, one choice, short answer, yes or no.

Free on every plan. Change any question, option or text before you publish.

Before you publish

  • Email reports only to the people who handle them.
  • Set how long reports are kept, as your policy says.
  • Say in the description who reads the reports and when they reply.
  • Link your privacy notice in Settings, or say how you use the answers in the description. Recommended for businesses.

Made for

An anonymous reporting form for speaking up: how it works, what to watch for, and common questions.

Speak up (anonymous)

Tell us about something that worries you: wrongdoing, safety, harassment, fraud, or anything that doesn't feel right. You don't have to say who you are. This form records only what you type: no name, no IP address, no device details and no cookies.

To stay anonymous, leave out details only you would know, and use a personal phone or computer rather than a work one: a work network can be monitored, even though this form isn't.

What is it about?*
What happened?*In your own words: what, where and when, as far as you know.
When did it happen?A date, or roughly, like "early March".
Who was involved?
Is it still happening?YesNoI don't know
Is there anything that would help us look into it?For example, documents and where to find them, or people who saw it.
Would you like a reply?Optional. Without a way to reach you, we can't ask you questions or tell you what happened next.YesNo
Shown when “Would you like a reply?” is YesHow can we reach you?*An email or phone number. A personal one you don't use at work keeps you more anonymous.
Shown when “Would you like a reply?” is YesI agree that my contact details are used to reply about this report, as described in the privacy notice.*
A preview of the questions. The live form uses the theme you pick, works on phones and with screen readers, and sets no cookies.

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