Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

Fraud, Waste & Abuse Reporting

  1. CONFIDENTIAL INFORMATION

  2. Any information reported on this form is confidential and will be kept confidential by Internal Audit in order to maintain the integrity of the Fraud, Waste & Abuse Hotline reporting and investigation process. Because this form, when completed, contains investigative notes and information furnished in confidence to Internal Audit, the completed form and its contents are excluded from mandatory disclosure under the Virginia Freedom of Information Act. Virginia Code § 2.2-3705.3(7); 2.2- 3700 et seq.

  3. Reporting Method:

  4. Source:

  5. Allegation:

  6. Disposition:

  7. Subject of Call:

  8. Entity:

  9. Auditor:

  10. Project Number:

  11. OFFICE/INTERNAL USE ONLY

  12. COUNTY OF HANOVER

  13. Fraud, Waste & Abuse Reporting

  14. You may fill-in this form on-screen and submit it directly to the Internal Audit Department by selecting the submit button at the bottom or you may select the print button and either fax the form to 804-365-6878 or mail the form to: Internal Audit Department, P.O. Box 470, Hanover, VA 23069-0470.

  15. We treat all information received as confidential. If you wish to remain anonymous, you may skip this section; however, we encourage you to provide this information in case we need to contact you for further information.

  16. Leave This Blank:

  17. This field is not part of the form submission.