STOPline | UWA Online Disclosure 
This form allows any person to make a disclosure to STOPline of any suspected improper conduct of members of the UWA community, e.g. staff, students, contractors and associated members.   Your disclosure may relate to conduct that: may be about to occur; is presently occurring; or that may have previously occurred. STOPline is provided in addition to UWA’s existing internal complaint resolution and public interest disclosure processes. Public interest disclosures that are eligible for consideration under the Public Interest Disclosure Act 2003 (WA) should not be made to STOPline.  Refer to the University Policy on: Public Interest Disclosures for more information.
Start a Disclosure
 
Anonymity

If your disclosure relates to an issue that directly involves you, and you elect to remain anonymous, the circumstances that you wish to report may tend to identify you, e.g. if you claim to be the victim of workplace bullying. If this may be the case, please contact STOPline on 1300 30 45 50 (Australia only) or elect to provide your details to STOPline (and not to UWA) by selecting the second option below and we will contact you to discuss.
 
Having a way to contact you and clarify any details you have provided will often result in a better outcome.  As this is an externally managed service anonymity can be handled in a number of ways, please select the level of anonymity you seek in making this disclosure:

*


 
Contact Information

 
First Name

 
Last Name

 
Street Address

 
City

 
State

 
Country

 
Postcode / Zip

 
Contact Phone Number

Please ensure you include the area code or international dialling code.
 
Disclosure Details

Please provide as much detail as possible and try and complete all the questions to allow the information you provide to be acted upon or used in a beneficial way.
 
Date of the Incident

If the exact date is not known please provide an approximate date in the Disclosure Detail question.
 
Where did the incident take place? *

Location of suspected improper conduct (if known), e.g. University grounds, externally, in transit.
 
Is the incident ongoing *

     
 
Are people at immediate risk? *

     
 
Is there an immediate risk of property loss or damage? *

     
 
What is the estimated monetary value relating to the improper conduct (if applicable)

Provide an estimate of the known, suspected, or potential loss or damage.
 
Please describe what happened (the incident). *

 
Who was primarily involved in the incident?

List the first name and last names if known and their role within the organisation.  Where possible also list their role in the incident e.g. respondent, witness, victim.
 
Were you a direct witness to the incident? *

     
 
If known, how did the incident take place?

Please provide details of any witnesses or people who may be able to provide further information in relation to this disclosure below:
 
Are you aware of any additional evidence that may assist in any subsequent inquiry into the incident?

Please provide any further information that may assist this disclosure to be properly considered.
 
Are you concerned follow up action may identify you as the person making the disclosure?

This may already be apparent from the details you have provided, STOPline may modify descriptions ultimately passed on in order to minimise this but it is not always obvious from the descriptions received.

 
Please attach any supporting documents and evidence in relation to this disclosure, e.g. photos, sound files, reports. If you have additional material, please attach it here (documents, photos pdf etc). If you have multiple documents, it is recommended to zip up the files or email them to uwa@stopline.com.au