Before filling out this form, please answer the following:

State law (RCW 42.40) strictly prohibits our Office from investigating personnel matters. Here are some other options that may be available to you, depending on your unique circumstance:

• File a grievance with your union.
• For discrimination or retaliation, file a complaint with the Washington State Human Rights Commission.
• Contact the state HR unit within OFM.
• Consider sending your concern to your agency leadership.
• Consider sharing your concerns with your internal audit department.

You must be a current state employee to file a WB complaint with our Office. If you are not a current state employee, here are potential options for you:

• Submit your complaint to our citizen hotline.
• If you are a local government employee, follow the steps outlined in your employer’s policy, under RCW 42.41.
• Notify your agency’s internal audit department or ethics advisor.

State law requires that the violation took place within the last 12 months. Potential options for you may include:

• The citizen hotline program
• File a grievance with your union
• Notify your agency’s internal audit department or ethics advisor

How do we contact you?

First Name:
Last Name:
Phone:
E-mail:
How would you prefer to be contacted (check all that apply):
Phone    Email    Regular Mail
File Anonymously If you have questions about whether to file anonymously, please call Program Manager Erin Anderson at (564) 999-0894.
Street Address:
City:
State:	AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VI VA WA WV WI WY
Zip Code:

 

Who is the complaint about?

First Name:	(required)
Last Name:	(required)
Agency	-- Accountancy Board Actuary Office Administrative Hearings Office Administrator for the Courts, Office of African American Affairs, Commission on Agriculture, Department of Alfalfa Seed Commission, Washington State Apple Commission Washington State Archaeology and Historic Preservation, Department of Arts Commission, Washington State Asian Pacific American Affairs, Commission on Asparagus Commission, Washington State Attorney General, Office of Auditor, Office of the State Bates Technical College Beef Commission, Washington State Beer Commission, Washington State Bellevue College Bellingham Technical College Big Bend Community College Blind, Department of Services for the Blueberry Commission, Washington State Board of Registration for Professional Engineers & Land Surveyors Cascadia College Caseload Forecast Council Central Washington University Centralia College Clark College Clover Park Technical College Columbia Basin College Columbia River Gorge Commission Commerce, Washington State Department of Community and Technical Colleges, State Board of Community Colleges of Spokane Conservation Commission, State Corrections, Department of County Road Administration Board Court of Appeals Cranberry Commission, Washington State Criminal Justice Training Commission Dairy Products Commission, Washington State Department of Children, Youth, and Families Eastern Washington State Historical Society Eastern Washington University Ecology, Department of Economic Development Finance Authority, Washington Edmonds College Education, State Board of Employment Security Department Energy Facility Site Evaluation Council Enterprise Services Department of Environmental and Land Use Hearings Office Everett Community College Evergreen State College Financial Institutions, Department of Financial Management, Office of Fish and Wildlife, Department of Forecast Council, Office of Forensic Investigation Council Freight Mobility Strategic Investment Board Fruit Commission, Washington State Gambling Commission Governor, Office of the Grain Commission, Washington State Grays Harbor College Green River College Hardwoods Commission, Washington State Health Care Authority, Washington State Health, Department of Higher Education Facilities Authority Highline College Hispanic Affairs, Commission on Historical Society, Washington State Hop Commission, Washington State Horse Racing Commission House of Representatives Housing Finance Commission, Washington State Human Rights Commission Indian Affairs, Governor's Office of Industrial Insurance Appeals, Board of Insurance Commissioner, Office of the Joint Legislative Audit and Review Committee Joint Legislative Systems Committee Joint Transportation Committee Judicial Conduct, Commission on Labor and Industries, Department of Lake Washington Institute of Technology Legislative Evaluation and Accountability Program LEOFF Plan 2 Retirement Board Licensing, Department of Lieutenant Governor, Office of Liquor and Cannabis Board Lottery Commission, Washington State Lower Columbia College Military Department Mint Commission, Washington State Natural Resources, Department of Office of Civil Legal Aid Office of Independent Investigations Office of Legislative Support Services Office of Minority and Women's Business Enterprises Office of State Legislative Labor Relations Oilseed Commission Olympic College Peninsula College Pierce College Pilotage Commissioners, Board of Pollution Liability Insurance Agency Potato Commission, Washington State Public Defense, Office of Public Disclosure Commission Public Employment Relations Commission Public Instruction, Office of Superintendent of Puget Sound Salmon Commission Puget Sound Partnership Pulse Crops Commission, Washington Red Raspberry Commission, Washington State Renton Technical College Retirement Systems, Department of Revenue, Department of Salaries for Elected Officials, Citizen Commission on Seattle Colleges Secretary of State, Office of Seed Potato Commission, Washington State Senate Shoreline Community College Skagit Valley College Social and Health Services, Department of South Puget Sound Community College State Investment Board State Patrol, Washington State School for the Blind Statute Law Committee Student Achievement Council Tacoma Community College Tax Appeals Board Tobacco Settlement Authority Traffic Safety Commission Transportation Commission Transportation Improvement Board Transportation, Department of Treasurer, Office of State Tree Fruit Research Commission, Washington State Turfgrass Seed Commission, Washington State University of Washington Utilities and Transportation Commission Veterans Affairs, Department of Volunteer Firefighters, Board of Walla Walla Community College Washington Center for Deaf and Hard of Hearing Youth Washington Charter School Commission Washington Health Benefit Exchange Washington Health Care Facilities Authority Washington Materials Management and Financing Authority Washington State Leadership Board Washington State Parks and Recreation Commission Washington State Recreation and Conservation Office Washington State University Washington Supreme Court Washington Technology Solutions Wenatchee Valley College Western Washington University Whatcom Community College Wine Commission, Washington State Workforce Training and Education Coordinating Board Yakima Valley College (required)
Division:
Position:	(required)
City:
Phone:
Supervisor's First Name:
Supervisor's Last Name:
Supervisor's Position:

 

What Happened?

What type of improper governmental action are you reporting? (required)
Conflict of Interest/Nepotism    Contract Issues    Gross mismanagement    Gross waste of public funds    Other improper governmental action per state law (Chapter 42.40 RCW)    Personal Use of State Resources    Preventing dissemination of scientific opinion or altering technical findings    Special Privilege    Substantial and specific danger to the public health and safety    Time and Attendance    Travel    Violation of state law or rule
Describe what happened in detail. The more detailed information you provide us, the better we will be able to assess your concerns. Improper governmental action cannot be related to personnel matters.
	(required)
Where can we find additional information to support your complaint?
Are there other witnesses?
Yes  No  (required)
If yes, please provide their contact information.
If you know what state law has been violated, please cite it below:

By checking this box I acknowledge that if the State Auditor’s Office does not initiate an investigation into my allegation of improper governmental action, I would not meet the definition of a whistleblower as defined by RCW 42.40.020(10).

Check the box below and then click "Submit Referral" to submit your whistleblower form.

Submit Referral

Thank you for submitting your assertion of improper governmental action to the State Auditor's Office.   If you provided contact information as part of your submission, you will hear from us within 15 days about whether an investigation will be initiated.  

Print For My Records

If you have additional questions and would like to discuss your concerns further, you can contact Erin Anderson, Whistleblower Program Manager, at (564) 999-0894, or email at erin.anderson@sao.wa.gov.