Reporting Form

Please specify whether you are:
XXL EmployeeSupplierCustomerOther

Contact Information

If you accept being contacted by XXL’s external service provider, please submit your contact information. If you prefer to remain anonymous, please be advised that we will not be able to keep you informed about the status of your case or involved in any investigation if decided:

Full Name:

If XXL employee: Workplace and Job Title:

Mob. No.:

E-mail address:

I want to remain anonymous:
YesNo

Information about the censurable condition or incident

Please provide as detailed information as possible.
You are not required to provide “evidence” to prove your concern. However, please distinguish between what you know (facts) and what you assume/suspect/think. If you have any documents that you think will support your case, you may upload them below:

Business unit/site/location where the censurable condition or incident that concerns you has occurred:

When did the incident(s) take place?

Describe the censurable condition/incident(s) that you are reporting:

If we should decide to conduct an investigation or audit to establish more facts or collect more information, which person(s) do you suggest we should involve?

If you prior to submitting this report have reported your concern to another party, e.g., public authority, union representative, Working Environment Committee, immediate superior, other XXL manager, etc., please indicate which party(ies) and their name, if appl.:

Other comments:

Upload documentation, if appl.