Before filling out this form, gather all (required) details and (optional) electronic documents you wish to submit as part of your submission. You may include a maximum of three files. Accepted file types: jpg, jpeg, png, doc, docx, pdf.
Ensure the completed form is submitted in a single session: entries and uploads cannot be saved for later editing and submission. We also strongly recommend that you print your submission via your browser's print function before submitting as you will not receive a copy by email. You may prefer to download this PDF version of the Public Information Disclosure Form and submit it by mail or email.
You must fill out all required fields.
When you select submit at the bottom of the form, your submission will be sent to PIDA@gov.bc.ca where it will be reviewed and someone from the Agency Designated Officer’s unit will contact you shortly.
This information is collected by the BC Public Service Agency under s.26(a) and (c) of the Freedom of Information and Protection of Privacy Act and will be used to assess and investigate allegations of serious wrongdoing made under the Public Interest Disclosure Act. If you have any questions about the collection of personal information please contact: Agency Designated Officer, BC Public Service Agency, Employee Relations Division, PO Box 9404, Stn Prov Govt Victoria, BC V8W 9V1 or telephone 250-952-6000 or email PIDA@gov.bc.ca .
This form is designed to assist you with providing information about how to a disclose serious wrongdoing to your supervisor, ministry ethics advisor or Agency Designated Officer. The information provided on this form will help facilitate review of the matter under the Public Interest Disclosure Act (PIDA).
If you are unable to include all details about the alleged wrongdoing on this form, you may submit further details as a separate document(s). Please include it when you submit this form. For information about PIDA submissions, visit the MyHR website: Getting Advice About the Public Interest Disclosure Act.
Your disclosure will be treated with the strictest confidence. A team trained in processing PIDA disclosures will review the information you provide while taking strict measures to keep your identity confidential. If additional information or clarification is required, the Agency Designated Officer will contact you directly.
Questions marked with an * are required. Disclosures under PIDA cannot be assessed without these completed fields.
Are you a current or former employee of the BC Public Service?
This form is for current and former ministry employees within the BC Public Service to assist them in making a disclosure under the Public Interest Disclosure Act.
Please check all that apply. The wrongdoing I wish to disclose relates to:
If none of the above apply, the Public Interest Disclosure Act may not be the best way to raise your concern. Please consider addressing the matter through other internal policies (e.g. Standards of Conduct or Investigations of allegations of employee misconduct) and procedures or contact your supervisor, MyHR website, or your ministry ethics advisor for guidance.
Please enter your contact information below.
Completing the information below will assist in the assessment of the of the alleged wrongdoing.
While anonymous disclosures may be accepted, if you do not provide adequate details it may not be possible to investigate your complaint. Providing your contact information allows investigators to follow up with you for more information they may need to move forward with an investigation. Your identity will be protected to the fullest extent possible and as a discloser you will receive protection under the Public Interest Disclosure Act against retaliation.
In the space provided below, please provide as much information as you can about the alleged wrongdoing and the person(s) alleged to have committed the wrongdoing. The following details are required, if known:
This section helps us understand what steps have already been taken to prevent the wrongdoing.
Have you reported the wrongdoing to your supervisor, ministry ethics advisor, another excluded manager, or through another process?
Are you aware if other bodies are investigating the wrongdoing (e.g. grievances through bargaining unit, the court system, the Comptroller General, Auditor General, Provincial Health Officer, the police)?