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myHSA Feedback Submission Form

All information provided is anonymous.

1. Please describe the potential misconduct. Misconduct can include:

a. A violation in myHSA's policies or Code of Conduct.

b. Financial reporting fraud, misrepresentation, or corporate disclosure.

c. Danger to the health, safety, or well-being of employees, volunteers and/or the general public.

d. Violations of any applicable jurisdiction laws that could result in fines or civil penalties payable by myHSA that could otherwise significantly harm myHSA's reputation or public image.

2. Dates the potential misconduct occurred or is about to occur.

3. Names of individuals and/or company/companies involved in the misconduct.

Thank you for your feedback.

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