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Collective Mind Solutions GmbH

Römerstrasse 75

71229 Leonberg

E-mail: kontakt@collectivemind.de

Phone: +49 7152 / 906 599 - 0

Fax: +49 7152 / 906 599 - 9

About us
Range of services
Contact us

Personal details

I would like to remain anonymous to the pension fund.

I would like to remain completely anonymous.

I am employed by Collective Mind GmbH.

I have the following relationship with Collective Mind GmbH :

Description

Name

First name

Surname

Address

Street

Address addition

City

Federal state

Zip code

Country

Telephone

email

Nature of the incident

Theft, embezzlement, fraud or embezzlement

Criminal offenses and administrative offenses relating to the company to the detriment of others

Other criminal offenses and administrative offenses related to the company

Criminal offenses and administrative offenses unrelated to the company

Violation of compliance guidelines

Violation of human rights New Choice

New ChoiceViolation of environmental protection

Discrimination and/or unequal treatment

Bullying

Violation of data protection

Tax evasion, undeclared work

Violation of the Money Laundering Act

Corruption

Stock market offenses

Other

Present the facts in detail

Is the incident still ongoing?

Yes

No

Who is involved in the incident? Please disclose the names and details of the persons.

Can you indicate which companies or enterprises are still affected?

Yes

No

Description

Where did the incident take place?

Have measures already been taken to stop the incident? If so, which ones?

Yes

No

Description

Do you have evidence that you can provide?

Yes

No

Description

If internal guidelines have been or are being violated, which ones are affected?

When or over what period of time did the misconduct occur?

From/to - to

How did you discover the violation?

Are managers directly or indirectly involved in the incident? If so, who?

Yes

No

Description

Are there any other witnesses? If so, please ask them to complete the registration form as well.

Yes

No

Description

Have you already spoken to someone about the incident? If so, with whom?

Yes

No

Description

Did anyone try to hide the incident? If so, who?

Yes

No

Description

Is there any other evidence that is not in your possession? If so, please provide the relevant information.

Yes

No

Description

Passing on

Yes

No

Consultation desired (lawyer to whistleblower)

Forwarding to the Compliance Officer of the StBV NRW desired (can be decided after initial contact/ consultation)

Yes

No

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