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Note: Some whistleblower laws have deadlines as short as 30 days.

The National Whistleblower Legal Defense & Education Fund ("Fund") provides legal referrals to whistleblowers in search of competent counsel. The Attorney Referral Service (ARS) is composed of attorneys from across the nation who are interested in whistleblower cases. To view additional resources that are available to you, click here. You can also read our FAQ and Disclaimer.

Your privacy is important to us. This form is transmitted over an encrypted connection and will be reviewed by Fund attorneys. If you do not wish to submit this form online, you may use this printable form and send it via fax or US mail.


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Legal Information: This form is intended to be used only to evaluate your claim and/or make a referral to legal counsel. It is not a commitment to provide legal representation. Our organization 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.