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Springfield Public Schools
Robert A. Leming, Interim Superintendent
1900 West Monroe Street
Springfield, IL 62704
217/525-3000
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Whistleblower Form
How to Blow the Whistle
I have direct knowledge of events or records involved
Other employees have told me about events or records involved
If other, please specify
1. You are knowledgeable about the information you are disclosing because (mark all that apply)
Other:
2. Please identify the person, department or facility involved in your disclosure:
Violation of law, rule or regulation
Abuse of authority
Management of Funds
Significant danger to public health and/or safety
3. Please indicate what area of the Whistleblower Policy is being violated (mark all that apply)
4. Please give specific details:
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