Servoca Independent Investigation Service
Enquiry Form
Can you please confirm the following:
Has this allegation been previously investigated
YES
NO
Could previous interview or relevant data be made available to Servoca’s investigator(s) if required?
YES
NO
N/A
Is the person at whom the allegation has been directed currently employed by referrer organisation?
YES
NO
Is the person at whom the allegation has been directed currently suspended by referrer organisation?
YES
NO
N/A
If known, will there be any requirement for a non-English language speaker?
YES
NO
What Language will be required?
REFERRER DETAILS
Full Name
Address
Telephone
Email
Position in Relation to the Allegation (i.e. Employer)
Name and Address of the Company / Organisation / Establishment
Date Form Completed
30
/
03
/
2025
SPECIFIC NATURE OF THE ALLEGATION(S)
(This should include a brief synopsis of the case to date, date(s) or period of incident(s), relationship between the complainant and the subject of the investigation. If completed by hand please use continuation sheets as necessary)
Date allegation first made
DD
/
MM
/
YYYY
To whom/how was the allegation first made
COMPLAINANT DETAILS
Complainant Name
Complainant Address
Complainant Details (if available)
ALLEGATION AGAINST
Name
Address
Work Details
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