Compliance Concern Report Form
It is the policy of Easterseals Arkansas to comply with all laws and regulations that apply to its business activities. Easterseals is committed to conducting its affairs both ethically and in accordance with applicable laws and regulations. Any employee who is aware of, or suspects, a compliance violation is urged to report the violation. Any reported matter suggesting substantial violation of Easterseals Arkansas’ compliance policy will be documented and thoroughly reviewed and investigated promptly. All reports will be treated confidentially to the extent reasonably possible.
*Optional (but encouraged)
Your Name:
Department where suspected violation has occurred or is occurring:
SELECT (required)
Administration
Butler Adult Living Center
Center for Training & Wellness
Children's Rehabilitation Center
Community Living (apartments)
Development
Finance
Grand Prairie Child Development Center
Human Resources
Little Rock Developmental Preschool
Outpatient Therapy - Little Rock
Outpatient Therapy - Stuttgart
Outreach
The Academy
Waiver
Other
Please describe suspected violation as completely as possible: