| What is the subject of the report?:* | sexual abuse discrimination or unequal treatment
 employee mobbing
 corruption / embezzlement
 violation of the code of ethics and humanitarian values
 gross breach of security rules
 complaints regarding the quality of assistance received or provided by ZM WSK
 mismanagement, including violations of tender and purchasing rules
 money laundering and support for terrorism
 another
 | 
                
                    | What is your role in this matter? (describe the relationship with ZM WSK):* |  | 
                    | Contact (give name, surname and convenient method of contact, telephone number, e-mail address, etc.):* |  | 
                
                    | Where did the incident take place? (if possible, state specifically, city, place, address):* |  | 
                
                    | When did the incident take place? (if possible, provide exact date or time period):* |  | 
                
                    | How did this come about? (describe the event with all possible details):* |  | 
                
                    | What resources, tools, means, methods have been used to carry out the procedure you consider illegal?:* |  | 
                
                    | How did the information about the described situation reach you?:* |  | 
                
                    | Is this your first contact with ZM WSK on a given matter? (if not, who has already been informed):* |  | 
                Would you like to stay in touch and receive information about the progress of the case and its results?:* |  | 
                    |  | * - required fields | 
                
                    |  |  |