File a Report

Physical address where incident occurred.

Are you an employee?


Do you wish to remain ANONYMOUS for this report?


If you want Goodwill to know your identity, please complete the following:


Phone Number

Best time to contact you

By giving us your email address, you will be given a unique "RPT ID#" and allows us to communicate with you via email. All further dialog relating to this report should reference this number.

Email Address

Incident Information:

Report type

#1 Name of person & title:

#2 Name of person & title:

Is management aware of this issue?

 Don't Know

Before submitting this form, please click on the link below to move the contents of box "A" into box "B" leaving the first box empty.

A: B: Click to Move