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Uncategorized
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January 1, 2020
ULTRAMARATHON SPONSORSHIP
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Description of the Malpractice
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Where did the malpractice occur?
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Is the alleged Malpractice still on-going
Yes
No
Unknown
Personnel/officer(s) involved in the Malpractice
Full Names
Position
Phone Number
Whistleblowers Information (Optional)
Name
Phone Number
Email Address
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Name
*
Email Address
Date
Please, describe the event/circumstance leading to grievance:
Please, provide a detailed account of occurrence (please include names of persons involved, if any):
Has any corrective action been taken to address the grievance?
What is the proposed corrective action to address the grievance?
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