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New York State Division of Military and Naval AffairsNYANG Airman
Governor Kathy Hochul | Major General Raymond F. Shields Jr.
Home IG Assistance Contact Us

New York National Guard
Inspector General Assistance Request Form

Who may file a Complaint?

Members of the public and Department of Defense employees (military members, civilian employees, and DoD contractor employees) may file a complaint.

What to Expect After Filing a Complaint

Here are some consideration points regarding what to expect after you file a complaint:

Unless you are contacted directly by one of our investigators, there will be no communication from our office, outside of correspondence which may advise you that your matter has been referred to the cognizant Department of Defense entity for appropriate action, where and if applicable.
Federal regulations prohibit the disclosure of information contained in investigative and law enforcement records, even to the individual submitting the allegation(s).
Our office will NOT provide anyone, to include the source of the complaint, with the status of action(s) taken on any allegation. This includes details pertaining to the processing of your complaint. The information you provide will be handled according to our internal policies and guidelines, and appropriate action will be taken, as determined.
Once a file is closed, results may be requested under the Freedom of Information Act (FOIA).

Confidentiality and Privacy

You are not required to identify yourself when submitting an IG complaint. In addition to filing anonymously (where you do not give your name to the IG), you may choose to provide your name and request confidentiality.

CONSENT TO DISCLOSURE:

IG personnel will not disclose the identity of an IG source to individuals outside the IG unless one of the following conditions below is met:

  1. The complainant or witness consents to disclosure outside of the IG and disclosure is made pursuant to the IG personnel’s duties.
  2. The IG determines the disclosure is unavoidable during the course of the investigation.

ANONYMOUS FILING STATUS:

If you file your complaint anonymously, we will not know who you are, and we will not be able to contact you to request additional information or to clarify any statements you made.

Do not enter any classified information on this form

DATA REQUIRED BY THE PRIVACY ACT OF 1974

Air Force

AUTHORITY: 10 U.S.C. 9013 Secretary of the Air Force, 10 U.S.C. 9020 Inspector General, 44 U.S.C. 3101 Records Management, Air Force Instruction 90-301, Inspector General Complaints Resolution and EO 9397.

PRINCIPAL PURPOSE(S): To register a personal complaint relating to individual injustices or suspected Fraud, Waste, and/or Abuse.

ROUTINE USE(S): Data provided are furnished to supervisors, commanders or inspectors in response to queries for resolution of complaints and to eliminate conditions considered detrimental to the efficiency or reputation of the Air Force.

DISCLOSURE: Voluntary; However, failure to provide the information will not adversely affect the resolution of your complaint but may delay the IG or investigating officer in resolving the issue.

SORN: F090 AF IG B, Inspector General Records (May 29, 2012, 77 FR 31591)

Army

AUTHORITY: 10 U.S.C 3013, Secretary of the Army; 10 U.S.C 3020, Inspector General Act of 1978 (Public Law, 95-452), as amended; DoDD 1030.1, Victim and Witness Assistance; AR 20-1, Inspector General Activities and Procedures.

PRINCIPAL PURPOSE: To secure sufficient information to inquire into the matters presented and to provide a response to the requester(s) and/or take action to correct deficiencies.

ROUTINE USES: Information is used for official purposes within the Department of Defense; to answer complaints or respond to requests for assistance, advice, or information; by Members of Congress and other Government agencies when determined by The Inspector General to be in the best interest of the Army; and, in certain cases, in trial by courts-martial and other Military matters as authorized by the Uniform Code of Military Justice.

DISCLOSURE: Voluntary, however, failure to provide complete information may hinder proper identification of the requester, accomplishment of the requested action(s), and response to the requester.

SORN: A0020-1 SAIG, Inspector General Records (January 11, 2002, 67 FR 1447)

Do not enter any classified information on this form

Required fields are marked with*

NAME
DOD ID
PREFERRED CONTACT TELEPHONE *
E-MAIL ADDRESS*
UNIT AND COMPLETE MILITARY ADDRESS (if applicable)
PREFERRED MAILING ADDRESS
COMPONENT / DUTY STATUS*
GRADE/RANK*
CONSENT TO RELEASE INFORMATION*
CONSENT TO RELEASE DOCUMENTS*

Note: Providing identifying information assists the Inspector General with follow-up, complaint clarification and fact finding – any identifying information provided is always safeguarded to the maximum extent practicable IAW DAFI 90-301 and AR 20-1. If you file anonymously, our ability to resolve the issues will be limited as we will not be able to contact you for clarification, additional information or to provide any case status after you submit a complaint.

DO YOU WISH TO REMAIN ANONYMOUS?*
ARE YOU WILLING TO BE INTERVIEWED?*
What Can the IG Do for You?*
Who Do You Believe Did Something Wrong or Wronged You?
NAME (Primary Subject)
DOD ID (Primary Subject)
PHONE (Primary Subject)
UNIT/ADDRESS (Primary Subject)
COMPONENT / DUTY STATUS
GRADE/RANK
Please List the Rank, Name, Unit and Contact Information of Any Other Subjects
What Did the Subject(s) Do, or Fail to Do That Was Wrong?*
What Rule, Regulation or Law do You Believe the Subject(s) Violated?*
Have You Sent Your Complaint to a Member of Congress?*
When Did the Incident Occur?*
Where Did the Incident Take Place?*
Why do You Think the Incident Took Place?*
How Have You Tried to Resolve the Problem?*
Unit POC
Who Else do You Believe Has Information Regarding this Request?*

This information is submitted for the basic purpose of requesting assistance, correcting injustices affecting the individual, or eliminating conditions considered detrimental to the efficiency or reputation of the Air Force.
Those who knowingly and intentionally provide false statements on this form are subject to potential punitive and administrative action (UCMJ Art 107, 18 U.S.C. 1001).

SUPPORTING DOCUMENTS

Up to 3 attachments are allowed (gif, jpg, png, tiff, pdf allowed).
Combined size of all attachments must be 15Mb or less.
You currently have 0Mb attached.

Complaints are transferred to the appropriate level IG. We encourage you to contact your local IG directly.

NOTE: Any records or documents provided to the IG become part of an IG record and are not returnable unless a FOIA request is submitted (see Chapter 10 and AFI 33-332, Air Force Privacy and Civil Liberties Program OR appropriate Army regulations). In addition, DO NOT mail CDs, DVDs, or thumb drives.

© NYS DMNA: New York National Guard IG Assistance Request Form
URL: https://dmna.ny.gov/ig/assistance/
216.73.216.214
Page Last Modified: 14 Jul 25