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Ethics Disclosure Form CONFIDENTIAL Notification of Potential Violation Public Employee Disclosure, Designated Ethics Supervisor, TO: (Name) (Agency, Board, Commission) In accordance with AS 39.52.210,
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How to fill out confidential notification of potential:

01
Start by accessing the form or template for the confidential notification of potential. This can usually be found on the website or platform where the notification is required.
02
Begin by filling out your personal information, including your full name, contact details, and any relevant identification numbers or codes.
03
Next, provide information about the potential you are notifying. This may include their name, contact details, and any identifiers or reference numbers associated with them. Be sure to include any pertinent details that are required or requested on the form.
04
In the designated section, provide a detailed description of the potential. This should include any specific details, observations, or evidence that supports your reason for notifying about them. Be clear and concise in your description to ensure a thorough understanding.
05
If applicable, include any supporting documents or evidence that may further validate or support your notification. These could be photographs, videos, reports, or any other relevant materials.
06
Review the completed form for accuracy and completeness. Ensure that you have filled out all the required fields and that the information provided is accurate. Make any necessary corrections or additions before submitting the form.
07
Finally, submit the confidential notification of potential as per the instructions provided. This may involve mailing the form, submitting it electronically, or delivering it to the appropriate authorities in person.

Who needs confidential notification of potential?

01
Individuals or organizations who have become aware of a potential risk, threat, or concern that could pose harm to others may need to file a confidential notification of potential. This can include scenarios like identifying potential criminal activities, suspicious behavior, potential hazards, or any other situation that requires immediate attention.
02
For example, teachers who notice concerning behavior from a student may need to file a confidential notification of potential to alert school administrators or guidance counselors about the situation.
03
Similarly, employees who observe suspicious or dangerous activities in the workplace may need to submit a confidential notification of potential to their supervisors or the appropriate authorities to ensure a prompt response and resolution to the situation.
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Confidential notification of potential is a process used to report any potential violations or issues that could impact an organization's operations or integrity.
Employees, contractors, or other stakeholders who become aware of potential violations or issues that need to be addressed.
Confidential notification of potential can be filled out by providing detailed information about the potential violation or issue, including relevant dates, individuals involved, and any supporting evidence.
The purpose of confidential notification of potential is to ensure that potential violations or issues are reported and addressed promptly to prevent harm to the organization.
Information such as details of the potential violation or issue, individuals involved, relevant dates, and any supporting evidence should be reported on confidential notification of potential.
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