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Interaction with Public Agents

Remember: you can make your complaint through a free call on 0800 713 0707.

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Thank you for contacting the SSA Ethics Line. Increasingly seeking professionalization, best market practices and valuing ethics and transparency, this form was developed for information about interactions with public agents, as established by our Public Agent Relationship Policy

What is your relationship with SSA? Please fill in the mandatory blanks.

In which area do you work? Please fill in the mandatory blanks.

Please specify: Please fill in the mandatory blanks.

Meeting Location:
Example:Office of the City Councilor X at Manaus City Council Please fill in the mandatory blanks.

Public Agency: Please fill in the mandatory blanks.

Meeting Subject: Please fill in the mandatory blanks.

Please specify Please fill in the mandatory blanks.

Meeting Day:
Example:January 7, 2019 Please fill in the mandatory blanks.

Meeting start time:
Example:08:30 AM Please fill in the mandatory blanks.

Meeting end time:
Example: 8:30 PM Please fill in the mandatory blanks.

Value of Accommodation or Gifts and Presents (if applicable):

Meeting report:
Write a report of the meeting, with the main points of discussion and possible notes. Please fill in the mandatory blanks.

List of participants:
Enter the list of meeting participants. Please fill in the mandatory blanks.

Compliance Alert: Please fill in the mandatory blanks.

Submit the Report: Please fill in the mandatory blanks.

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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