VA Form 10177, WHISTLEBLOWER COMPLAINT FORM. 10177, WHISTLEBLOWER, COMPLAINT 2026

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The document is an OPTIONAL EMPLOYEE DISCLOSURE FORM from the Department of Veterans Affairs, designed for employees to report potential violations, mismanagement, waste of funds, abuse of authority, or dangers to public health or safety. It outlines the process for submitting disclosures to the Office of Accountability and Whistleblower Protection (OAWP), including definitions of key terms, protections against retaliation, and instructions for filing a disclosure. Employees can submit their disclosures anonymously and are encouraged to provide detailed information to facilitate effective review.

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Click ‘Get Form’ to open VA Form 10177 in the editor.
Begin with Part 1: Personal Information. Fill in your name, address, and contact details. If any field is not applicable, enter 'N/A' or 'Unknown'.
Proceed to Part 2: Employer Information. Provide the name and address of the VA facility where the disclosed activity occurred.
In Part 3: Details of Your Disclosure, indicate how you know about the information being disclosed by checking relevant boxes and providing specific details about the wrongdoing.
Describe the agency wrongdoing in detail, including dates and identities of involved persons. Attach any supporting documents if necessary.
Finally, complete Part 4: Consent, Signature and Submission. Choose whether you consent to release your identity, sign the form, and include any attachments before submitting.

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Versions	Form popularity	Fillable & printable
2020	4.8 Satisfied (126 Votes)
2018	4.4 Satisfied (57 Votes)
2017	4.3 Satisfied (58 Votes)

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va whistleblower hotline

VA Whistleblower complaints VA Office of Accountability and Whistleblower Protection (OAWP) Department of Veterans Affairs Accountability and Whistleblower Protection Act of 2017 VA complaint online VA investigation list VA Accountability Act Va whistleblower news VA Directive 0500

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