Vimly Anonymous Complaint Form

This form is to be used by employees, third parties, and customers to report complaints or unethical behavior in a confidential manner. By submitting this report, you are bringing your concerns to Vimly's attention. Your report will be received by the Compliance Team. Vimly takes the reports made through this form seriously. Every effort will be made to evaluate your report promptly, however, the timing and manner in which the report is responded to will vary depending on the information you provide and whether you choose to remain anonymous. If you provide your contact information, the Compliance team will contact you to share information about resources, support services and your rights and options and potential resolution.

Full Name of individual reporting the incident (voluntary)

Do you consent to a member of the Compliance team contacting you to provide additional information about your options and available resources?*

You may contact me

To the extent possible I'd like to remain anonymous to the individuals involved, but you may contact me

Please do not contact me

Date of incident*

Involved Parties

Full name of individual(s) involved or of concern*

Full name of of any witnesses or anyone familiar with the incident being reported

To list more than one individual separate names with a comma

Questions

What is your primary concern?*

Select

Please provide a description of the incident*

Answer the questions who, what, when, where, why, how

Describe the harm or potential you are concerned about as a result of the incident*

What is the preferred outcome?*

Are you willing to be involved in the potential solution?*

If willing to be involved, please include contact information

Yes

Supporting Documentation

Please upload any documents (including texts, emails, photos, supplemental statements) that may be relevant to the information you provided.

File Upload

Drag and drop files here or

By clicking the "Submit" button below, you attest that the information provided on this form is true and correct to the best of your knowledge.

Send me a copy of my responses

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