Grupo Eurofarma - Make a report

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Would you like to identify yourself?
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To which company is this report directed to?

What is your relationship with EUROFARMA?

Which type of report best fits the occurrence you are filing?

Indicate the floor plan of the event you are reporting:

Indicate the area where the event you are reporting occurred:

About the event you are reporting, you:

Is any Director, Manager, Coordinator, Supervisor, or Chief AWARE of the reported issue?

Is a Director, Manager, Coordinator, Supervisor, or Chief directly INVOLVED in the reported occurrence?

Do you know if any Director (s), Manager (s), Coordinator (s), Supervisor (s), or Chief (s) have tried to HIDE the reported issue?

*What do you want to report? Please fill in the mandatory blanks.

Is there evidence about what happened?

If you have any suggestions on how to solve the problem, please describe it:

Are there any financial losses related to the occurrence you are reporting? If possible, indicate the financial value involved

By completing the form, you agree to Contato Seguro to save and send the information you provide to the contracting company / organization for your services, enabling action to be taken from reviewing the content of your responses. For more information on data protection and user rights, please visit this link.

I have read and agree to the above term

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