MODULO SEGNALAZIONI - WHISTLEBLOWING

Name and surname*

Position or function performed within the O.R.I. Martin s.p.a.*

Full description of the facts reported:*

The circumstances of time and place in which they were committed (if known):*

Any general information or other elements (such as the job title and the service in which the activity is carried out) that allow the identification of the subject *

Indication of any other subjects who are able to provide details on the facts reported:

An indication of any documents that can confirm the validity of these facts:

Any other information that might provide useful feedback on the veracity of the facts reported:

Insert attachment (MAX 10Mb)

Data*

In compliance with the rules for the protection of personal data, all the information contained in the report, possibly including that relating to the whistleblower, or other individuals, will be treated confidentially and reserved and will be kept in accordance with the procedures established by the protocol on the management of whistleblowing (PSQ 105) and in any case in compliance with current privacy legislation. *

Whistleblowing Reporting Form