Monthly SurveyJoseph Orr2024-11-07T19:27:51-04:00

Monthly Check-In Survey

The National Whistleblower Legal Defense and Education Fund and National Whistleblower Center’s Attorney Referral Program

Thank you for being a valued member of our Attorney Referral Program! Your participation in this program is crucial to our ability to assist whistleblowers and ensure that their legal rights are protected. To help us monitor the efficacy of our program and the satisfaction of our participating members, please fill out this brief, monthly check-in survey. As a reminder, please do not disclose any information that is bound by attorney-client privilege!

Submit an Intake

Your communications are secured and sent over 256-bit SSL encryption. Protect your identity and confidentiality, do not use any devices owned or controlled by a private corporation or governmental entity. It is also recommended to protect your online identity by establishing a new email account that does not identify you and to avoid using other online platforms that may disclose your identity.

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Name*

Email*

Phone

Company

Position Held

Select a State*

Contact Reason*

Please briefly describe your issue or question:

Note: failure to fill out this information will prevent us from reviewing your intake

How did you hear about us?

Phone

This field is for validation purposes and should be left unchanged.

Protect Your Identity and Confidentiality

Use Secure Devices

Do not use devices owned or controlled by your employer or governmental entity.

Create a New Email

Protect your online identity by establishing a new email account that does not identify you.

Don't Use Social Media

Avoid using other online platforms or social media that may disclose your identity.

The Fund attorneys manage the Attorney Referral Program on a pro bono basis. But in order to ensure the fairness of the referral process, no intakes are referred to them for representation. If you would like to contact the Trustees of the Fund or the Directors of the National Whistleblower Center, please reach out to them directly. Intakes from international whistleblowers are processed under a separate program.

National Whistleblower Legal Defense & Education Fund
1800 M Street, NW #33888
Washington, District of Columbia 20033

Do not send intake information to this address, it will not be reviewed. Any materials submitted to us by mail cannot be returned.

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