PROTECTED DISCLOSURE LETTER TEMPLATE
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[Your name] · [Date]

To: [Employer / nominated whistleblowing contact]

RE: DISCLOSURE OF INFORMATION — [one-line subject]

1. I am providing the following information in the reasonable belief
   that it tends to show [choose from s.43B(1) ERA 1996]:
   [ ] a criminal offence
   [ ] a failure to comply with a legal obligation
   [ ] a miscarriage of justice
   [ ] danger to the health and safety of any individual
   [ ] damage to the environment
   [ ] deliberate concealment of information tending to show any of the above

2. THE INFORMATION (facts, not allegations):
   - On [date], at [place], [specific facts — numbers, names, documents].
   - [Continue: what you saw, measured, or were sent. Quote documents.]

3. I believe this information is substantially true because [source of
   knowledge], and I raise it in the reasonable belief that it is in the
   public interest because [who is affected and how — e.g. service
   users, patients, the public, 200 customers].

4. REQUEST: Please investigate and confirm to me in writing what action
   is taken. I would ask that my identity be protected as far as
   possible during any investigation.

5. NOTE: I am raising this internally in the first instance. I trust the
   organisation will ensure I suffer no detriment as a result of this
   disclosure (s.47B Employment Rights Act 1996).

Yours sincerely,
[Your name]

Keep: the sent email, any reply, and a dated note of anything that
changes at work afterwards (see the detriment log).

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Template from YourWorkRights.uk — free, independent guidance.
This template is general guidance, not legal advice. Adapt it to
your facts. For advice on your case: ACAS 0300 123 1100.
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