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APPLICATION OF SAFE DISCLOSURE MEMORANDUM OF
AGREEMENT (MOA) BETWEEN THE GOVERNMENT OF THE
NORTHWEST TERRITORIES AND THE UNION OF
NORTHERN WORKERS.
INTRODUCTION
This document provides guidelines on
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How to fill out application of safe disclosure

How to fill out an application of safe disclosure:
01
Begin by clearly stating your name, contact information, and any relevant identification numbers.
02
Provide a brief overview of your position or relationship with the organization to which you are submitting the safe disclosure application.
03
Clearly state the issue or concern that you would like to disclose. Be as specific and detailed as possible, providing any supporting evidence or documentation if available.
04
Describe any previous attempts you have made to address the issue or concern internally within the organization. Include the names of individuals you have spoken to or any actions that have been taken.
05
Clearly outline the desired outcome or resolution that you are seeking by submitting the safe disclosure application.
06
Indicate whether you would like to remain anonymous or if you are comfortable with your identity being disclosed during the investigation.
07
Sign and date the application.
08
Keep a copy of the application for your records.
Who needs an application of safe disclosure:
01
Employees or individuals who have witnessed unethical behavior, illegal activities, or any other wrongdoing within their organization.
02
Individuals who have concerns about potential risks to public health, safety, or the environment due to the actions of their organization.
03
Whistleblowers who want to report fraudulent or wrongful activities within their workplace without fear of retaliation.
Note: It is important to check the specific guidelines and policies of your organization regarding the safe disclosure process as requirements may vary.
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What is application of safe disclosure?
Application of safe disclosure is a process used by individuals to report potential misconduct or wrongdoing within an organization while protecting themselves from retaliation.
Who is required to file application of safe disclosure?
Any individual who becomes aware of misconduct or wrongdoing in an organization may file an application of safe disclosure.
How to fill out application of safe disclosure?
To fill out an application of safe disclosure, individuals can typically do so by submitting a formal written report detailing the misconduct or wrongdoing to the appropriate authority within the organization.
What is the purpose of application of safe disclosure?
The purpose of application of safe disclosure is to encourage individuals to report misconduct or wrongdoing within an organization without fear of retaliation, in order to address and rectify the issue.
What information must be reported on application of safe disclosure?
The information to be reported on an application of safe disclosure typically includes details of the misconduct or wrongdoing, any evidence or documentation available, and the names of individuals involved.
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