DISCLAIMER: This form will to be used only to permit an attorney to confidentially evaluate your claim or case. It is not a commitment to provide legal representation. The NWLDEF is not affiliated with any government agency or court. Hitting the Submit button does not constitute the filing of a claim with any government agency or court. Regardless of our evaluation of your situation, the contents of the form shall remain confidential.
It is NWLDEF’s strict policy that the confidential report forms you submit shall remain confidential. We consider the submission and content of this form to fall within the confines of the attorney-client and work product privileges and will treat the information we receive accordingly. Please understand that although we consider your communication with us to be privileged, we are not your attorneys and do not represent you. Should we mutually agree to enter a representation arrangement, we will enter into a formal written agreement with you setting forth the scope and terms of our legal representation.
If you hire an attorney to represent you the NWLDEF will have no further involvement with your case. Furthermore, it is up to you to independently evaluate the quality of any attorney/law firm you may hire, even if that attorney is affiliated with the NWLDEF. The NWLDEF’s review of this form is a pro bono public service.
The National Whistleblower Center (NWC) and the NWC's Legal Assistance Program are independent from the NWLDEF.
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Nothing on this web site should be interpreted as legal advice or
guidance as to whether or not you have a valid claim. The NWLDEF cannot
make any judgment on your case, or whether or not we can help you, until
after you provide the us with information and we have an opportunity
to review that information.
Questions regarding the Confidential Report Form and status of your report – Email: email@example.com
Regardless of whether you are able to retain counsel through this service, it is absolutely imperative for whistleblowers to know their rights. We strongly suggest that you review the resources linked here and obtain a copy of The New Whistleblower's Handbook.