OIG Contractor Reporting Form

The Federal Acquisition Regulation (FAR) requires that contractors timely notify the relevant Office of Inspector General (OIG) whenever there is credible evidence to believe that a violation(s) of criminal law and/or the civil False Claims Act have occurred in connection with a Federal contract.

Specifically, contractors must disclose, in writing, to the OIG whenever they have credible evidence that a principal, employee, agent, or subcontractor of the contractor has committed a violation of Federal criminal law involving fraud, conflict of interest, bribery, or gratuity violations (found in Title 18 of the United States Code) or a violation of the civil False Claims Act (31 U.S.C. 3729-3733), in connection with the award, performance, or closeout of a Government contract or a subcontract awarded thereunder. Disclosures must be made by a senior officer or manager authorized to speak for the contractor.

For additional details see: Contractor Business Ethics Compliance Program and Disclosure Requirements, 73 Fed. Reg. 67064 (Nov. 12, 2008); 48 C.F.R 52.203-13(c)(2)(ii)(F).

If you wish to report information that does not fall within these guidelines, please visit our Online Complaint Form

Disclosures can be submitted electronically using the form shown below:

Describe the alledged fraud, waste, abuse, or mismanagement of NARA activity

Incident or Violation

Initial Incident Date

Is the incident ongoing?

Yes

Date contractor learned of potential violation:

Does this report contain confidential or proprietary information?

Yes

List any other government entities you are notifying about this incident:

Contract Information

Contract Number

Description of Services/Supplies/System

Relationship

My Company is the

I am reporting on

Your Contact Information

First

Last

Phone

Address

City/Town

State/Province

ZIP/Postal Code

Acknowledgement (Required)

I understand and acknowledge that this submission does not bar, prohibit, foreclose or preclude the Government from pursuing any and all criminal, civil and/or administrative remedies provided to it by law and/or regulation against (a) the business entity(ies) making the forgoing submission, (b) any other business entities mentioned in the submission and/or (c) any individuals mentioned in the submission.