Whistleblower Form

Note: Fields marked with an * are required.

We advise that whistleblowers use your personal resources and contact information when communicating submitting this form, and that you do not use your work equipment or work contact information. Further, do not submit classified information or other information barred from release through this form or by email.

Various U.S. laws at the federal, state and local level prohibit retaliation against whistleblowers for providing information to Congress. However, you still take serious risks when you report allegations of wrongdoing. We recommend that you consult an attorney experienced in whistleblower law for further guidance. We respect your confidentiality, and we will use your contact information only to follow up with you regarding your submission. You may submit a disclosure anonymously. However, please be aware that anonymous disclosures may limit our ability to respond to the information that you provide.

All submissions will be shared confidentially with the office of Senator Tom Cotton.

CONTACT INFORMATION

What are these options?

This is to help the constituents that are hard of hearing or use a video phone alert us to that fact so we can use the proper technology when we need to call them. The default option “Voice” is a normal audible telephone.

Do you have a lawyer for this matter, and do you prefer we communicate through your lawyer? *
Employment Type *
COMPLAINT DETAILS
Have you filed your concerns elsewhere or contacted another government office about this allegation? *
Do you have colleagues that can support your concerns and are willing to communicate with Rep. Crenshaw? *
Do you believe you have experienced or been threatened with retaliation in connection with your concerns? *
ADDITIONAL INFORMATION
Would you like to be contacted regarding this submission? *
Human Validation