Shawnee Community College

Fraud, Waste and Abuse Program

Disclosure Form for Anonymous Reporting

This form is desiged to provide information that can be helpful in an inquiry of the questionable activity.

Do not be concerned if you cannot complete the form in its entirety; however, provide as much information as you can.


If you have physical evidence, please send a copy (if possible) to:

Compliance Services

8364 Shawnee College Road

Ullin, IL 62992


Thank you for taking the time to complete this form.

Also, please do not confront or carry out activities that could alert the “suspect”, an internal investigation will be preformed.