Please note that the ICAC will only receive this form if submitted. If not submitted, the form will automatically be deleted two weeks from being started. ICAC corruption complaints form Your form has been saved. You may access the form via the link in this email. You must provide a valid email address to save a copy of this form. Step 1 NSW public authority The NSW public authority involved in your complaint* Please enter the NSW public authority involved in your complaint About you You are not required to provide us with your personal details and may remain anonymous. While the ICAC accepts anonymous corruption reports, we will not be able to verify information you provide or obtain further information from you. We will also not be able to advise you of the outcome of the matter if you remain anonymous. Do you wish to provide your personal details? YesNo Title Madam Madame Master Miss Mr Mrs Ms Name* Please enter your firstname and lastname Are you a NSW public official?* YesNoUnknown NSW public official is required Employer and position title I do not wish to provide my personal contact details Email* The ICAC will use this email address as our main way of communicating with you about this complaint. Please enter correct Email address. e.g. john@example.com Telephone* Please enter correct contact number. Only numeric characters and spaces are allowed. e.g. 12345678 Street address Town / suburb Postcode Mobile Preferred mode of contact EmailPost Date of birth The ICAC aims to treat all information received and all sources of information confidentially but in some cases this may not be possible. For more information go to "Protections for complainants".