Anonymous Whistleblower Report
Ensure compliance with anonymous ethics reporting, evidence uploads, and case tracking
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What's Included in This Template
8 Fields
Pre-configured fields with the right input types, validation, and layout for hr & recruitment.
Full Customization
Change colors, fonts, add your logo, rearrange fields, and make it match your brand perfectly.
42+ Integrations
Connect with Mailchimp, HubSpot, Zapier, n8n, Google Sheets, Slack, and more. Automate your workflow.
Form Structure
Multi-page layout keeps your form organized and easy to complete.
Ten to fifteen minutes. That's the estimated time it takes an employee to complete this report, and for your compliance program those minutes matter more than most. The Anonymous Whistleblower Report template gives staff a structured, private way to flag fraud, safety violations, harassment, and other misconduct, then gives you a documented trail for every case. It's available on the Uplup Business plan and runs in any browser.
The report that almost didn't get filed
Picture an accounts payable clerk who has watched the same vendor invoice get approved twice a month for a year. She suspects fraud, but the only way to raise it is a face-to-face meeting with a manager who signs those invoices. So she says nothing. A dedicated reporting form changes that math. She opens a link, picks a category, describes what she has seen, and the report goes straight to the compliance dashboard instead of across anyone's desk. The barrier drops from a career risk to a ten to fifteen minute task.
Eight fields that trade nothing for clarity
The form holds 8 fields in a short, focused flow. A select menu sorts each report into one of six categories: Fraud, Safety Violation, Harassment, Discrimination, Conflict of Interest, or Other. Optional date and department fields pin the incident to a time and place without demanding details a reporter may not have. The required Description box carries the substance of the report, and a separate Evidence field lets reporters paste links to documents, photos, or recordings kept in your company's own storage.
The final question asks, would you like follow-up, and the two options are Yes or No, this is anonymous. Be clear about what that means as shipped: the name and work email fields at the top of the form are required, so the anonymous option controls follow-up contact, not identity. Every field is editable, though. If your policy promises a truly anonymous channel, make those two fields optional or delete them before the form goes live.
From a submission to a complete case file
Every report lands in your Uplup dashboard the moment it's submitted. Per-question breakdowns show the category mix at a glance, which tells you whether you're fielding isolated complaints or a pattern concentrated in one department. CSV export turns individual reports into case records you can hand to investigators or outside counsel, and webhooks or Zapier can alert your compliance lead in real time, because a fraud report should not sit unread for a week.
A channel people can reach without an audience
Distribution decides whether a reporting channel gets used. Share the form as a direct link in your employee handbook, print a QR code for breakroom and warehouse posters, embed it on your intranet, or drop it into a WordPress site with the Uplup plugin's shortcode. The form spreads its 8 fields across four pages, and back navigation lets reporters step back and review what they've written before submitting. Apply your own logo and colors so the form reads as an official company channel, not a third-party site an employee might hesitate to trust.
Editing takes minutes. Rename categories to match your code of conduct, add fields that reference specific policies, or rewrite the wording for regional offices. Once the form is live the same link keeps working as you refine it, so the channel you announce in this year's ethics training stays the channel employees actually use.
Who Is This Template For?
This template works for a wide range of goals and industries.
Internal ethics reporting channel
Replace an email alias or physical suggestion box with a structured intake that sorts fraud, harassment, discrimination, and conflict of interest reports the moment they arrive, complete with a timestamp and category.
Compliance program documentation
Every submission arrives timestamped and categorized in one dashboard, and CSV export produces a documented record of what was reported and when, which helps a compliance program show its reporting channel is real and that reports are received.
HR investigation intake
HR teams collecting harassment or discrimination complaints get the incident date, department or location, a full written description, and evidence links captured up front, so investigations start with facts instead of a scheduling back-and-forth.
Key Features
Six misconduct categories built in
A required select field routes every report into Fraud, Safety Violation, Harassment, Discrimination, Conflict of Interest, or Other, so triage starts before anyone reads a word. Rename or add categories to match your code of conduct.
You decide how anonymous it gets
A closing radio question asks whether the reporter wants follow-up, with an option that reads no, this is anonymous. As shipped the form still requires a name and work email, so edit or remove those two fields if your policy calls for reports with no identity attached.
Case-ready records
Per-question breakdowns reveal patterns by category and department, CSV export produces files you can hand to investigators, and webhooks or Zapier alert your compliance lead the moment a report is submitted.
Discreet distribution
Publish the form as a direct link, print a QR code for posters in shared spaces, embed it on your intranet, or add it to a WordPress site with the Uplup plugin's shortcode.
How It Works
Choose This Template
Click "Use This Template Free" to get started. You will get a full copy of this form in your account, ready to edit.
Customize It
Edit the fields, update the design, add your branding, and set up integrations. Everything is editable from the visual builder.
Share & Collect Responses
Publish your form and share it with a link, embed it on your website, or post it on social media. View responses in real time.
Frequently Asked Questions
Can employees file a report without revealing who they are?
Can reporters attach evidence to a report?
How does the compliance team find out a new report came in?
Which Uplup plan do I need for this template?
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HR & RecruitmentReady to Use This Form Template?
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