Anonymous Whistleblower Report
This whistleblower reporting form enables employees and stakeholders to report compliance concerns, misconduct, fraud, or policy violations anonymously and securely. The form guides reporters through categorizing the issue, providing relevant details, and optionally offering follow-up contact. It includes conditional sections based on incident type to gather appropriate information while maintaining confidentiality.
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export function whistleblowerReportForm(form: FormTs) {
// Anonymous Whistleblower Report - Secure compliance incident reporting
// Demonstrates: Heavy conditional visibility, dynamic labels, sensitive data handling, multi-section flow
// ============================================
// HEADER
// ============================================
form.addRow(row => {
row.addTextPanel('header', {
label: 'Confidential Report',
computedValue: () => 'Report concerns safely and anonymously. Your identity is protected.',
customStyles: {
backgroundColor: '#1e3a5f',
color: 'white',
padding: '24px',
borderRadius: '12px',
textAlign: 'center'
}
});
});
// ============================================
// SECTION: Confidentiality Notice
// ============================================
const noticeSection = form.addSubform('notice', {
title: 'Before You Begin',
customStyles: { backgroundColor: '#fef3c7', padding: '16px', borderRadius: '8px', borderLeft: '4px solid #f59e0b' }
});
noticeSection.addRow(row => {
row.addTextPanel('confidentialityNotice', {
computedValue: () => `CONFIDENTIALITY NOTICE
This reporting system is designed to protect your identity. You may submit this report completely anonymously - no personal information is required.
All reports are reviewed by trained compliance personnel and handled with strict confidentiality in accordance with applicable whistleblower protection laws.
Retaliation against anyone who makes a good-faith report is strictly prohibited.`,
customStyles: {
whiteSpace: 'pre-wrap',
fontSize: '14px',
lineHeight: '1.6'
}
});
});
noticeSection.addRow(row => {
row.addCheckbox('acknowledgeNotice', {
label: 'I understand this report will be handled confidentially',
isRequired: true
});
});
// ============================================
// SECTION 1: Incident Category
// ============================================
const categorySection = form.addSubform('category', {
title: 'Report Category',
isVisible: () => noticeSection.checkbox('acknowledgeNotice')?.value() === true
});
categorySection.addRow(row => {
row.addRadioButton('incidentType', {
label: 'What type of concern are you reporting?',
options: [
{ id: 'fraud', name: 'Financial fraud or misappropriation' },
{ id: 'harassment', name: 'Harassment or hostile work environment' },
{ id: 'discrimination', name: 'Discrimination (race, gender, age, disability, etc.)' },
{ id: 'safety', name: 'Health and safety violation' },
{ id: 'conflict', name: 'Conflict of interest' },
{ id: 'data', name: 'Data privacy or security breach' },
{ id: 'policy', name: 'Company policy violation' },
{ id: 'legal', name: 'Legal or regulatory violation' },
{ id: 'retaliation', name: 'Retaliation for previous report' },
{ id: 'other', name: 'Other concern' }
],
orientation: 'vertical',
isRequired: true
});
});
categorySection.addRow(row => {
row.addTextbox('otherType', {
label: 'Please describe the type of concern:',
placeholder: 'Briefly describe the category...',
isVisible: () => categorySection.radioButton('incidentType')?.value() === 'other',
isRequired: () => categorySection.radioButton('incidentType')?.value() === 'other'
});
});
categorySection.addRow(row => {
row.addDropdown('severity', {
label: 'How would you rate the severity?',
options: [
{ id: 'low', name: 'Low - Minor policy concern' },
{ id: 'medium', name: 'Medium - Significant issue requiring attention' },
{ id: 'high', name: 'High - Serious violation or risk' },
{ id: 'critical', name: 'Critical - Immediate danger or major fraud' }
],
isRequired: true,
isVisible: () => categorySection.radioButton('incidentType')?.value() !== null
});
});
// ============================================
// SECTION 2: Incident Details
// ============================================
const detailsSection = form.addSubform('details', {
title: () => {
const type = categorySection.radioButton('incidentType')?.value();
const labels: Record<string, string> = {
'fraud': 'Fraud Details',
'harassment': 'Harassment Details',
'discrimination': 'Discrimination Details',
'safety': 'Safety Violation Details',
'conflict': 'Conflict of Interest Details',
'data': 'Data Breach Details',
'policy': 'Policy Violation Details',
'legal': 'Legal Violation Details',
'retaliation': 'Retaliation Details',
'other': 'Incident Details'
};
return labels[type || ''] || 'Incident Details';
},
isVisible: () => categorySection.dropdown('severity')?.value() !== null
});
// Date and location
detailsSection.addRow(row => {
row.addDropdown('whenOccurred', {
label: 'When did this occur?',
options: [
{ id: 'today', name: 'Today' },
{ id: 'this-week', name: 'Within the past week' },
{ id: 'this-month', name: 'Within the past month' },
{ id: 'past-months', name: '1-6 months ago' },
{ id: 'past-year', name: 'More than 6 months ago' },
{ id: 'ongoing', name: 'Ongoing/Recurring' }
],
isRequired: true
}, '1fr');
row.addTextbox('locationOccurred', {
label: 'Where did this occur?',
placeholder: 'Department, office, location, or online',
tooltip: 'Be as specific as you are comfortable with'
}, '1fr');
});
// Conditional fraud details
const fraudDetails = detailsSection.addSubform('fraudDetails', {
isVisible: () => categorySection.radioButton('incidentType')?.value() === 'fraud',
customStyles: { backgroundColor: '#fef2f2', padding: '12px', borderRadius: '6px' }
});
fraudDetails.addRow(row => {
row.addCheckboxList('fraudType', {
label: 'Type of financial misconduct:',
options: [
{ id: 'embezzlement', name: 'Embezzlement' },
{ id: 'expense', name: 'Expense fraud' },
{ id: 'vendor', name: 'Vendor/procurement fraud' },
{ id: 'payroll', name: 'Payroll fraud' },
{ id: 'financial', name: 'Financial statement manipulation' },
{ id: 'bribery', name: 'Bribery or kickbacks' },
{ id: 'theft', name: 'Asset theft' },
{ id: 'other', name: 'Other' }
],
orientation: 'vertical'
});
});
fraudDetails.addRow(row => {
row.addMoney('estimatedAmount', {
label: 'Estimated amount involved (if known)',
currency: '$',
placeholder: 'Leave blank if unknown'
});
});
// Conditional harassment details
const harassmentDetails = detailsSection.addSubform('harassmentDetails', {
isVisible: () => categorySection.radioButton('incidentType')?.value() === 'harassment',
customStyles: { backgroundColor: '#fef2f2', padding: '12px', borderRadius: '6px' }
});
harassmentDetails.addRow(row => {
row.addCheckboxList('harassmentType', {
label: 'Type of harassment:',
options: [
{ id: 'verbal', name: 'Verbal harassment' },
{ id: 'physical', name: 'Physical harassment' },
{ id: 'sexual', name: 'Sexual harassment' },
{ id: 'bullying', name: 'Bullying/intimidation' },
{ id: 'cyber', name: 'Cyber harassment' },
{ id: 'quid-pro-quo', name: 'Quid pro quo' },
{ id: 'other', name: 'Other' }
],
orientation: 'vertical'
});
});
harassmentDetails.addRow(row => {
row.addRadioButton('harassmentFrequency', {
label: 'How often has this occurred?',
options: [
{ id: 'once', name: 'Single incident' },
{ id: 'few', name: 'A few times' },
{ id: 'frequent', name: 'Frequently/Ongoing' }
],
orientation: 'horizontal'
});
});
// Conditional safety details
const safetyDetails = detailsSection.addSubform('safetyDetails', {
isVisible: () => categorySection.radioButton('incidentType')?.value() === 'safety',
customStyles: { backgroundColor: '#fef2f2', padding: '12px', borderRadius: '6px' }
});
safetyDetails.addRow(row => {
row.addCheckboxList('safetyType', {
label: 'Type of safety concern:',
options: [
{ id: 'equipment', name: 'Unsafe equipment' },
{ id: 'conditions', name: 'Hazardous conditions' },
{ id: 'training', name: 'Inadequate safety training' },
{ id: 'ppe', name: 'Missing/inadequate PPE' },
{ id: 'chemical', name: 'Chemical/substance hazard' },
{ id: 'ergonomic', name: 'Ergonomic hazard' },
{ id: 'fire', name: 'Fire safety violation' },
{ id: 'other', name: 'Other' }
],
orientation: 'vertical'
});
});
safetyDetails.addRow(row => {
row.addRadioButton('injuryOccurred', {
label: 'Has anyone been injured?',
options: [
{ id: 'yes', name: 'Yes' },
{ id: 'no', name: 'No' },
{ id: 'near-miss', name: 'Near miss' }
],
orientation: 'horizontal'
});
});
// Conditional data breach details
const dataDetails = detailsSection.addSubform('dataDetails', {
isVisible: () => categorySection.radioButton('incidentType')?.value() === 'data',
customStyles: { backgroundColor: '#fef2f2', padding: '12px', borderRadius: '6px' }
});
dataDetails.addRow(row => {
row.addCheckboxList('dataType', {
label: 'Type of data involved:',
options: [
{ id: 'personal', name: 'Personal employee data' },
{ id: 'customer', name: 'Customer data' },
{ id: 'financial', name: 'Financial data' },
{ id: 'health', name: 'Health/medical data' },
{ id: 'trade', name: 'Trade secrets/IP' },
{ id: 'credentials', name: 'Passwords/credentials' },
{ id: 'other', name: 'Other sensitive data' }
],
orientation: 'vertical'
});
});
dataDetails.addRow(row => {
row.addRadioButton('dataExposed', {
label: 'Was data exposed externally?',
options: [
{ id: 'yes', name: 'Yes, confirmed' },
{ id: 'possibly', name: 'Possibly' },
{ id: 'no', name: 'No, internal only' },
{ id: 'unknown', name: 'Unknown' }
],
orientation: 'horizontal'
});
});
// Main description (always shown)
detailsSection.addSpacer({ height: '20px' });
detailsSection.addRow(row => {
row.addTextarea('description', {
label: 'Please describe what happened:',
placeholder: 'Provide as much detail as you can about the incident. Include what you observed, when it happened, and any relevant context...',
rows: 6,
isRequired: true
});
});
// ============================================
// SECTION 3: People Involved
// ============================================
const peopleSection = form.addSubform('people', {
title: 'People Involved',
isVisible: () => (detailsSection.textarea('description')?.value()?.length ?? 0) > 0
});
peopleSection.addRow(row => {
row.addTextPanel('peopleNote', {
computedValue: () => 'Providing names is optional but helps the investigation. You may use descriptions instead (e.g., "manager in Finance department").',
customStyles: { fontSize: '13px', color: '#6b7280', marginBottom: '12px' }
});
});
peopleSection.addRow(row => {
row.addTextarea('personsInvolved', {
label: 'Who was involved in the incident?',
placeholder: 'Names, titles, or descriptions of people involved...',
rows: 3
});
});
peopleSection.addRow(row => {
row.addTextarea('witnesses', {
label: 'Were there any witnesses?',
placeholder: 'Names or descriptions of anyone who may have witnessed the incident...',
rows: 2
});
});
peopleSection.addRow(row => {
row.addRadioButton('previouslyReported', {
label: 'Have you reported this concern before?',
options: [
{ id: 'no', name: 'No, this is my first report' },
{ id: 'yes-internal', name: 'Yes, internally (manager, HR, etc.)' },
{ id: 'yes-external', name: 'Yes, to external authorities' }
],
orientation: 'vertical'
});
});
peopleSection.addRow(row => {
row.addTextarea('previousReportDetails', {
label: 'What was the outcome of your previous report?',
placeholder: 'Describe what happened when you previously reported this...',
rows: 2,
isVisible: () => {
const prev = peopleSection.radioButton('previouslyReported')?.value();
return prev === 'yes-internal' || prev === 'yes-external';
}
});
});
// ============================================
// SECTION 4: Evidence
// ============================================
const evidenceSection = form.addSubform('evidence', {
title: 'Supporting Information',
isVisible: () => (detailsSection.textarea('description')?.value()?.length ?? 0) > 0
});
evidenceSection.addRow(row => {
row.addRadioButton('hasEvidence', {
label: 'Do you have any evidence or documentation?',
options: [
{ id: 'yes', name: 'Yes' },
{ id: 'no', name: 'No' },
{ id: 'can-obtain', name: 'I could potentially obtain some' }
],
orientation: 'horizontal'
});
});
evidenceSection.addRow(row => {
row.addCheckboxList('evidenceTypes', {
label: 'What type of evidence do you have?',
options: [
{ id: 'documents', name: 'Documents/Files' },
{ id: 'emails', name: 'Emails/Messages' },
{ id: 'photos', name: 'Photos/Screenshots' },
{ id: 'recordings', name: 'Audio/Video recordings' },
{ id: 'financial', name: 'Financial records' },
{ id: 'physical', name: 'Physical evidence' },
{ id: 'other', name: 'Other' }
],
orientation: 'vertical',
isVisible: () => evidenceSection.radioButton('hasEvidence')?.value() === 'yes'
});
});
evidenceSection.addRow(row => {
row.addTextarea('evidenceDescription', {
label: 'Please describe the evidence you have:',
placeholder: 'Describe what evidence exists and where it can be found...',
rows: 3,
isVisible: () => evidenceSection.radioButton('hasEvidence')?.value() === 'yes'
});
});
// ============================================
// SECTION 5: Contact (Optional)
// ============================================
const contactSection = form.addSubform('contact', {
title: 'Follow-Up Contact (Optional)',
isVisible: () => (detailsSection.textarea('description')?.value()?.length ?? 0) > 0,
customStyles: { backgroundColor: '#f0f9ff', padding: '16px', borderRadius: '8px' }
});
contactSection.addRow(row => {
row.addTextPanel('contactNote', {
computedValue: () => 'Providing contact information is entirely optional. If you do, it allows investigators to follow up with questions or provide updates on the investigation.',
customStyles: { fontSize: '13px', color: '#6b7280', marginBottom: '12px' }
});
});
contactSection.addRow(row => {
row.addRadioButton('allowContact', {
label: 'May we contact you for follow-up?',
options: [
{ id: 'no', name: 'No, I wish to remain completely anonymous' },
{ id: 'yes-anonymous', name: 'Yes, but keep my identity confidential' },
{ id: 'yes', name: 'Yes, I\'m willing to be identified if necessary' }
],
orientation: 'vertical'
});
});
contactSection.addRow(row => {
row.addDropdown('contactMethod', {
label: 'Preferred contact method:',
options: [
{ id: 'email', name: 'Email' },
{ id: 'phone', name: 'Phone' },
{ id: 'secure', name: 'Secure messaging platform' }
],
isVisible: () => {
const allow = contactSection.radioButton('allowContact')?.value();
return allow === 'yes-anonymous' || allow === 'yes';
}
}, '1fr');
row.addTextbox('contactInfo', {
label: 'Contact information:',
placeholder: 'Email address or phone number',
isVisible: () => {
const allow = contactSection.radioButton('allowContact')?.value();
return allow === 'yes-anonymous' || allow === 'yes';
}
}, '1fr');
});
// ============================================
// SECTION 6: Final Acknowledgment
// ============================================
const finalSection = form.addSubform('final', {
title: 'Submission',
isVisible: () => (detailsSection.textarea('description')?.value()?.length ?? 0) > 0
});
finalSection.addRow(row => {
row.addCheckbox('goodFaith', {
label: 'I am submitting this report in good faith and believe the information to be true to the best of my knowledge',
isRequired: true
});
});
finalSection.addRow(row => {
row.addCheckbox('understandProcess', {
label: 'I understand that this report will be investigated and appropriate action will be taken',
isRequired: true
});
});
// Summary
finalSection.addSpacer({ height: '20px' });
finalSection.addRow(row => {
row.addTextPanel('summaryContent', {
computedValue: () => {
const incidentType = categorySection.radioButton('incidentType')?.value();
const severity = categorySection.dropdown('severity')?.value();
const when = detailsSection.dropdown('whenOccurred')?.value();
const allowContact = contactSection.radioButton('allowContact')?.value();
const typeLabels: Record<string, string> = {
'fraud': 'Financial fraud',
'harassment': 'Harassment',
'discrimination': 'Discrimination',
'safety': 'Safety violation',
'conflict': 'Conflict of interest',
'data': 'Data breach',
'policy': 'Policy violation',
'legal': 'Legal violation',
'retaliation': 'Retaliation',
'other': 'Other concern'
};
const severityLabels: Record<string, string> = {
'low': 'Low',
'medium': 'Medium',
'high': 'High',
'critical': 'Critical'
};
let summary = 'REPORT SUMMARY\n';
summary += `${'─'.repeat(25)}\n\n`;
summary += `Category: ${typeLabels[incidentType || ''] || 'Not specified'}\n`;
summary += `Severity: ${severityLabels[severity || ''] || 'Not rated'}\n`;
summary += `Timing: ${when || 'Not specified'}\n`;
summary += `\nContact: ${allowContact === 'no' ? 'Anonymous' : allowContact === 'yes-anonymous' ? 'Confidential' : 'May identify'}`;
return summary;
},
customStyles: {
whiteSpace: 'pre-wrap',
fontFamily: 'monospace',
fontSize: '13px',
padding: '12px',
backgroundColor: '#f8fafc',
borderRadius: '6px',
border: '1px solid #e2e8f0'
}
});
});
// ============================================
// FORM CONFIGURATION
// ============================================
form.configureSubmitButton({
label: 'Submit Report',
isVisible: () => {
const goodFaith = finalSection.checkbox('goodFaith')?.value();
const understand = finalSection.checkbox('understandProcess')?.value();
return goodFaith === true && understand === true;
}
});
form.configureCompletionScreen({
type: 'text',
title: 'Report Submitted Successfully',
message: 'Your report has been securely received. It will be reviewed by the appropriate compliance personnel. If you provided contact information, you may be contacted for follow-up. Thank you for helping maintain our ethical standards.'
});
}
Frequently Asked Questions
How is anonymity maintained?
The form does not require any personal identification. All contact information is optional. Organizations can configure the form to not collect IP addresses or other identifying metadata.
Can reporters choose to identify themselves?
Yes, reporters can optionally provide contact information if they wish to be reached for follow-up. This is entirely voluntary and the form works fully anonymously.
What types of incidents can be reported?
The form supports various incident types including fraud, harassment, safety violations, conflicts of interest, discrimination, policy violations, and more. Categories are fully customizable.
How are reports routed?
Reports can be configured to route to different recipients based on incident type - for example, HR for harassment, Legal for fraud, or Safety for workplace hazards.
Is this form compliant with whistleblower regulations?
The form is designed to support compliance with common whistleblower protection requirements. Organizations should review local regulations and configure the form accordingly with legal guidance.