WHISTLEBLOWER FORM

Identify me as

Contact Details

Are you an Amnesty Kenya staff or member of the public

First Name

Last Name

Job Title

Mobile Phone (i.e +254123456789)

Email

Can we send you updates about this case?

Can you tell us why you've chosen to remain anonymous?

Approximate Start Date of the Incident?

If ongoing, put today's date

List person/people involved (If more than one, separate the names with a comma)

Where did the incident take place?

Which department does this report relate to?

Have you reported this concerns internally?

Details of your concern?

What action do you believe should be taken as a result of registering your concern?

Kindly email [email protected] any photos, files or other evidence that substantiates your concerns.