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Reporting form

LAW 20,393 AND OTHER CRIMES REPORTING FORM.

* indicates obligatory field for the form to be sent.

Name of person filing the report (Optional, this complaint can be anonymous)

Contact information (Optional, you can add a number, email or other means to contact the complainant)

Type of relationship with Copefrut:

Collaborator

Seasonal collaborator

Provider

Grower

Client

Community

Other

I prefer to remain anonymous

Position or functions performed (Optional, this report can be anonymous)

Date on which this report is being made*

Place where incident occurred (Plant, office, address, city, country etc. 255 characters*

Area of the company in which the incident occurred 255 characters*

Approximate date on which the incident occurred*

Detailed description of the occurrence. 400 characters*

Indicate names and positions of people involved in the occurrence if known. 255 characters*

Names and positions of possible witnesses of the occurrence. 255 characters*

Approximate amount related to the occurrence, if possible to identify. 255 characters*

I have and/or attach the following details that can contribute to clarify the occurrence. 400 characters*

Attach a file