Ethics & Integrity Paper Forms

Ethics & Integrity Paper Forms

Printable offline forms for bound-register intake and later digital reconciliation.

Source-controlled actions: Source-backed determinations, referrals, and public-register actions require a competent authorized source reference.

Retention: No deletion or destruction workflow is exposed by this mechanism. Digital and paper records are held under the owning Government record schedule. If no authorized disposition schedule applies, retain the record and paper original pending authorized disposition.

Paper-control procedure

  1. Use a bound office paper-continuity register and assign the next controlled paper reference before substantive handling.
  2. Record receipt date/time, receiving operator reference, form type, page count, physical-original location, and classification.
  3. For protected handling, place identifying/contact and narrative sheets in a sealed inner envelope; mark only the controlled paper reference on the outer register entry.
  4. Issue the submitter a receipt stub containing the controlled paper reference when practicable.
  5. Route to the responsible Ethics & Integrity administrator. Do not convert an allegation or disclosure into a finding.
  6. Any determination, referral, public release, restriction, or disposition must cite its competent authorized source.
  7. When service returns, reconcile the paper-origin record without backdating or changing its substantive effect. Retain the paper original under the authorized record schedule.

A person may omit identity on a paper report unless an authorized source requires it, but omission is not a promise of anonymity, confidentiality privilege, or protection.

Open common controlled paper-continuity packet

Source reference for source-dependent actions

When a determination, referral, public release, restriction, disposition, or other source-dependent action is recorded, enter the competent authorized source in the applicable form field and preserve it with the paper record.

EIE-01 Conflict disclosure

Person/office; matter; relationship or interest; dates; source/reference if any; requested administrative routing.


Controlled paper reference: __________________________________________

Received date/time/timezone: _______________________________________

Receiving operator reference: ______________________________________

Administrative narrative / continuation:

EIE-02 Gift / hospitality / benefit declaration

Declarant; giver/source; description; estimated value if known; date; context; disposition/action source if any.


Controlled paper reference: __________________________________________

Received date/time/timezone: _______________________________________

Receiving operator reference: ______________________________________

Administrative narrative / continuation:

EIE-03 Recusal request / record

Matter; person/office; disclosed relationship or basis; requested routing; determination source left blank until authorized.


Controlled paper reference: __________________________________________

Received date/time/timezone: _______________________________________

Receiving operator reference: ______________________________________

Administrative narrative / continuation:

EIE-04 Integrity concern / anti-bribery referral request

Reporter label/contact if supplied; persons/offices involved; neutral facts; dates; records/evidence references; requested routing. Do not mark wrongdoing established.


Controlled paper reference: __________________________________________

Received date/time/timezone: _______________________________________

Receiving operator reference: ______________________________________

Administrative narrative / continuation:

EIE-05 Protected integrity report

Controlled reference; reporter label/contact if supplied; neutral narrative; dates; supporting record references; preferred return route; sealed-envelope custody entries.


Controlled paper reference: __________________________________________

Received date/time/timezone: _______________________________________

Receiving operator reference: ______________________________________

Administrative narrative / continuation:

EIE-06 External contact / lobbying-contact transparency

Government participant; outside person/entity; date/time; subject/purpose; benefit offered if any; records supplied; source defining any disclosure duty.


Controlled paper reference: __________________________________________

Received date/time/timezone: _______________________________________

Receiving operator reference: ______________________________________

Administrative narrative / continuation:

EIE-07 Ethics advisory request

Requester; question; facts; controlling source references if known; requested advice. Determination field remains blank until an authorized source supplies it.


Controlled paper reference: __________________________________________

Received date/time/timezone: _______________________________________

Receiving operator reference: ______________________________________

Administrative narrative / continuation:

EIE-08 Training attestation

Participant; training title/version; date; delivery method; trainer/source; attestation text; signature/witness only if legitimately required.


Controlled paper reference: __________________________________________

Received date/time/timezone: _______________________________________

Receiving operator reference: ______________________________________

Administrative narrative / continuation:

EIE-09 Determination / referral continuation sheet

Record reference; administrative status; competent source reference; exact source-backed determination/referral text; responsible recipient; notice/receipt details.


Controlled paper reference: __________________________________________

Received date/time/timezone: _______________________________________

Receiving operator reference: ______________________________________

Administrative narrative / continuation:

EIE-10 Paper register & digital reconciliation

Paper reference; register ID/entry; receipt date/time/timezone; physical-original location; classification; custody log; scan SHA-256 if made; digital record reference; reconciliation actor/time; retention hold/source.


Controlled paper reference: __________________________________________

Received date/time/timezone: _______________________________________

Receiving operator reference: ______________________________________

Administrative narrative / continuation:

Official ecosystem source reference · Official spelling: Yisra'eyl · Government Administration