Confidential Report to Senior Management

Northeast Foods maintains strict polices governing the conduct of our employees to ensure a work environment free from harassment, discrimination and drugs. Further, all employees are expected to perform their jobs and conduct themselves in the best interest of the organization and in compliance with all government laws and regulations. Employees are encouraged to report violation of these policies and/or misconduct to senior management. We will make every reasonable effort to maintain the confidentiality of inidividuals making such reports. Distribution of these reports is limited to the key personnel who have a need to know. However, in the course of investigation it is often necessary to contact the reporting person for the purpose of obtaining additional information.

Date / /
Your Name
Department/ Operation
Nature & Description of issue/violation
Telephone number and times you can be contacted if additional information is needed