REPORT OF FRAUD, WASTE, AND ABUSE UNCLASSIFIED INTAKE FORM
ICIG CPD – Hotline Intake Form Rev: August 2019
The Office of the Inspector General of the Intelligence Community (ICIG) Hotline and intake process provides a
confidential means for Intelligence Community (IC) employees, contractors, and the public to report information
concerning suspected fraud, waste, and abuse. Anyone can report his or her concerns to the ICIG.
Report to the Hotline if your allegation potentially involves:
• A criminal act,
• Administrative misconduct,
• Fraud, waste, abuse, or mismanagement in an Intelligence Community program or activity,
• An unauthorized disclosure of classified national security information, or
• An illegal intelligence activity.
If you are making an “urgent concern” disclosure pursuant to 50 U.S.C. § 3033(k)(5), please visit the ICIG Hotline
webpage for additional information and complete an Urgent Concern Disclosure Form.
If you are requesting a review by an External Review Panel (ERP) under Section C of Presidential Policy Directive
19, Protecting Whistleblowers with Access to Classified Information, please visit the ICIG Hotline webpage for
additional information and complete the ERP Form.
☐ I affirm that my submission, including any attachments, does not include classified information. If your
submission, including any attachments, may contain CLASSIFIED INFORMATION, please contact the
ICIG
HOTLINE (Open: 855-731-3260 Secure: 933-2800) to determine appropriate submission procedures.
PART 1 – CONFIDENTIALITY NOTICE
(*) Required Information
By selecting one of the following options below you acknowledge that you have read and understand the
choice you are making. Your submission cannot be processed without you selecting one of the boxes
below.*
☐ I choose to waive confidentiality and I give consent for the ICIG Hotline to release my identity outside the
ICIG on a need-to-know basis. By waiving confidentiality, I understand that I may improve the ability of the
ICIG to assist me and address the alleged wrongdoing. I understand that no action constituting a reprisal, or
threat of reprisal, for making a complaint or disclosing information to the Inspector General may be taken by any
employee in a position to take such action, unless the complaint or information was disclosed with the knowledge
that it was false or with willful disregard for its truth or falsity.
☐ I request confidentiality. I choose to identify myself for purposes of making this submission, but I DO NOT
give consent to the ICIG Hotline to provide my name and contact information outside the ICIG, except as required
by law. [Note: The ICIG will not disclose your identity without your consent, unless the IG determines that such
a disclosure is unavoidable during the course of an investigation, or the disclosure is made to an official of the
Department of Justice responsible for determining whether a prosecution should be undertaken.]
☐ I choose to provide my complaint anonymously. I understand this may limit the ICIG’s ability to conduct an
inquiry, if one is warranted, or to appropriately address the alleged wrongdoing. [Note: In the event the ICIG
needs to contact you for additional information or clarification, please consider selecting one of the previous
options to allow for follow-up contact.]