Office of the Executive Inspector General for the Illinois State Treasurer

Complaint Form

Sex

Male Female Transgender Non-binary

Please select the pronouns you use:

She/her/hers He/him/his They/them/theirs

Please share your pronoun if it is not listed:

Please check preferred method(s) of contact:

Home Phone Business Phone Other Phone Email

Are you a State of Illinois Employee?

Y N

Is your complaint related to your state employment?

Y N

Complaint Information

Is your complaint against a State of Illinois employee(s), agency or vendor of the State?

Y N

If No, our office lacks the authority to review or investigate your complaint.

Please provide as much detailed information about the individual(s) as possible.

Sex

Male Female Transgender Non-binary

Have you notified any other Federal, State or local agency of your complaint?

Y N

Has your complaint been resolved?

Y N

Have you previously filed a complaint with the OEIG?

Y N

Is this complaint related to your previously filed OEIG complaint?

Y N

May we refer your complaint to the appropriate agency, if necessary?

Y N

(Once your complaint is referred, you may be contacted by that agency as part of its investigation)

If your complaint is referred, do you want your name and contact information removed?

Y N

Please attach any available documentation in support of your complaint.

Other person(s) who could be witness to the complaint you have alleged

Any identifying information:

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