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| Url | https://templates.webcoredev.webcore.app/mailform-whistleblower-fr/ |
| --- | --- |
| MetaTitle | WhistleBlowerForm - WhistleBlowerForm |
| MetaDescription | WhistleBlowerForm |

<fieldset id="C_T_DefaultRegion_M4985_Form_pnlForm_MultiStepForm_Step1" class="multistepstep" role="tabpanel" aria-labelledby="progress-tab-1">
					<legend>Vos informations (1/3)</legend>
            <fieldset class="mode form-group"><legend>Souhaitez-vous rester anonyme ?</legend><div class="form-check" data-item-key="yes" data-item-type="List"></div><div class="form-check" data-item-key="no" data-item-type="List"></div></fieldset>
            <div class="name">
				<div class="row">
                    <div class="col-12 col-lg-6">
                        <div id="C_T_DefaultRegion_M4985_Form_pnlForm_MultiStepForm_Step1_FirstName_pnlFirstName" class="firstname form-group" data-item-key="FirstName" data-item-type="Text">
						<label for="C_T_DefaultRegion_M4985_Form_pnlForm_MultiStepForm_Step1_FirstName_txtFirstName" id="C_T_DefaultRegion_M4985_Form_pnlForm_MultiStepForm_Step1_FirstName_lblFirstName" title="Prénom">Prénom</label>
					</div>
                    </div>
                    <div class="col-12 col-lg-6">
                        <div id="C_T_DefaultRegion_M4985_Form_pnlForm_MultiStepForm_Step1_LastName_pnlLastName" class="lastname form-group" data-item-key="LastName" data-item-type="Text">
						<label for="C_T_DefaultRegion_M4985_Form_pnlForm_MultiStepForm_Step1_LastName_txtLastName" id="C_T_DefaultRegion_M4985_Form_pnlForm_MultiStepForm_Step1_LastName_lblLastName" title="Nom">Nom</label>
					</div>
                    </div>
                    <div class="col-12 col-lg-6">
                        <div id="C_T_DefaultRegion_M4985_Form_pnlForm_MultiStepForm_Step1_Email_pnlEmail" class="email form-group" data-item-key="Email" data-item-type="Text">
						<label for="C_T_DefaultRegion_M4985_Form_pnlForm_MultiStepForm_Step1_Email_txtEmail" id="C_T_DefaultRegion_M4985_Form_pnlForm_MultiStepForm_Step1_Email_lblEmail" title="E-mail">E-mail</label>
					</div>
                    </div>
                    <div class="col-12 col-lg-6">
                        <div id="C_T_DefaultRegion_M4985_Form_pnlForm_MultiStepForm_Step1_Phone_pnlPhone" class="phone form-group" data-item-key="Phone" data-item-type="Text">
						<label for="C_T_DefaultRegion_M4985_Form_pnlForm_MultiStepForm_Step1_Phone_txtPhone" id="C_T_DefaultRegion_M4985_Form_pnlForm_MultiStepForm_Step1_Phone_lblPhone" title="Téléphone">Téléphone</label>
					</div>
                    </div>
				</div>
            </div>
        <div class="buttonpanel"></div>
				</fieldset>

<fieldset id="C_T_DefaultRegion_M4985_Form_pnlForm_MultiStepForm_Step2" class="multistepstep" role="tabpanel" aria-labelledby="progress-tab-2" hidden="hidden">
					<legend>Votre préoccupation (2/3)</legend>
            <fieldset class="concern form-group"><legend>Quel est l'objet de votre signalement ?</legend><div class="form-check" data-item-key="fraud" data-item-type="List"></div><div class="form-check" data-item-key="corruption" data-item-type="List"></div><div class="form-check" data-item-key="conflict" data-item-type="List"></div><div class="form-check" data-item-key="harassment" data-item-type="List"></div><div class="form-check" data-item-key="discrimination" data-item-type="List"></div><div class="form-check" data-item-key="health" data-item-type="List"></div><div class="form-check" data-item-key="privacy" data-item-type="List"></div><div class="form-check" data-item-key="legal" data-item-type="List"></div><div class="form-check" data-item-key="moneylaundering" data-item-type="List"></div><div class="form-check" data-item-key="anticompetitive" data-item-type="List"></div><div class="form-check" data-item-key="consumer" data-item-type="List"></div><div class="form-check" data-item-key="codeofconduct" data-item-type="List"></div><div class="form-check" data-item-key="other" data-item-type="List"></div></fieldset>
        <div class="buttonpanel"></div>
				</fieldset>

<fieldset id="C_T_DefaultRegion_M4985_Form_pnlForm_MultiStepForm_Step3" class="multistepstep" role="tabpanel" aria-labelledby="progress-tab-3" hidden="hidden">
					<legend>Détails du signalement (3/3)</legend>
            <div class="row">
                <div class="col-12 col-lg-6">
                    <div id="C_T_DefaultRegion_M4985_Form_pnlForm_MultiStepForm_Step3_Department_pnlDepartment" class="department form-group required" data-item-key="Department" data-item-type="Text">
						<label for="C_T_DefaultRegion_M4985_Form_pnlForm_MultiStepForm_Step3_Department_txtDepartment" id="C_T_DefaultRegion_M4985_Form_pnlForm_MultiStepForm_Step3_Department_lblDepartment" title="Département/Équipe">Département/Équipe</label>
					</div>
                </div>
                <div class="col-12 col-lg-6">
                    <div id="C_T_DefaultRegion_M4985_Form_pnlForm_MultiStepForm_Step3_Persons_pnlPersons" class="persons form-group" data-item-key="Persons" data-item-type="Text">
						<label for="C_T_DefaultRegion_M4985_Form_pnlForm_MultiStepForm_Step3_Persons_txtPersons" id="C_T_DefaultRegion_M4985_Form_pnlForm_MultiStepForm_Step3_Persons_lblPersons" title="Personne(s) impliquée(s)">Personne(s) impliquée(s)</label>
					</div>
                </div>
            </div>
            <div class="row">
                <div class="col-12 col-lg-6">
                    <div id="C_T_DefaultRegion_M4985_Form_pnlForm_MultiStepForm_Step3_Date_pnlDate" class="date form-group required" data-item-key="Date" data-item-type="Text">
						<label for="C_T_DefaultRegion_M4985_Form_pnlForm_MultiStepForm_Step3_Date_txtDate" id="C_T_DefaultRegion_M4985_Form_pnlForm_MultiStepForm_Step3_Date_lblDate" title="Date">Date</label>
					</div>
                </div>
                <div class="col-12 col-lg-6">
                    <div id="C_T_DefaultRegion_M4985_Form_pnlForm_MultiStepForm_Step3_Location_pnlLocation" class="location form-group required" data-item-key="Location" data-item-type="Text">
						<label for="C_T_DefaultRegion_M4985_Form_pnlForm_MultiStepForm_Step3_Location_txtLocation" id="C_T_DefaultRegion_M4985_Form_pnlForm_MultiStepForm_Step3_Location_lblLocation" title="Lieu">Lieu</label>
					</div>
                </div>
            </div>
            <div id="C_T_DefaultRegion_M4985_Form_pnlForm_MultiStepForm_Step3_Comment_pnlComment" class="comment form-group required" data-item-key="Comment" data-item-type="Text">
						<label for="C_T_DefaultRegion_M4985_Form_pnlForm_MultiStepForm_Step3_Comment_txtComment" id="C_T_DefaultRegion_M4985_Form_pnlForm_MultiStepForm_Step3_Comment_lblComment" title="Décrivez votre préoccupation">Décrivez votre préoccupation</label>
					</div>
            <div id="C_T_DefaultRegion_M4985_Form_pnlForm_MultiStepForm_Step3_Evidence_pnlEvidence" class="evidence form-group">
						<label for="C_T_DefaultRegion_M4985_Form_pnlForm_MultiStepForm_Step3_Evidence_uplEvidence" id="C_T_DefaultRegion_M4985_Form_pnlForm_MultiStepForm_Step3_Evidence_lblEvidence" title="Avez-vous des preuves à l'appui ?">Avez-vous des preuves à l'appui ?</label>
					</div>
            <div class="privacy alert alert-info">
						<span>Nous respectons votre vie privée et n’utilisons vos données que dans le but de traiter votre demande. En envoyant la demande, vous acceptez notre </span><span><a href="/mentions-legales/#privacy">Politique de vie privée</a></span>
					</div>    
            
        <div class="buttonpanel"></div>
				</fieldset>