Fraud Reporting Form - Peoria County Auditor's Office

2. What is the activity you would like to report?*

   Please describe the activity, why you believe it is improper, and if you have any documentation to support the claim.

4. Who are the individuals involved?*

   Please state the individuals and/or department you believe responsible or others who may be aware of the improper activity.

6. Where did the activity occur?*

   Please describe where the improper activity occured and/or where the Auditor's Office may find more information related to the activity.

8. When did the activity occur?*

   Please state when the activity occured, and when you discovered it.

10. Why did the activity occur?*

    Please state your belief as to why the activity occured or who would have benefited from the improper activity.

12. How was the activity able to occur?*

    Please describe if controls were circumvented to allow the activity to occur.

16. If you wish to remain anonymous, please do not fill out this section. If you choose to give your contact information, the Auditor's Office will not knowingly disclose any information that would identify you without your express permission, unless required by law.

    If you wish to remain anonymous, please do not fill out this section. If you choose to give your contact information, the Auditor's Office will not knowingly disclose any information that would identify you without your express permission, unless required by law.

18. Name

19. Email Address

21. Address

23. City

24. State

25. Zip Code

27. Phone Number

Leave This Blank:


29. 1. Receive an email copy of this form.
30. Email address

    This field is not part of the form submission.

31. Submit

* indicates a required field