Palm Insurance Canada Inc.

Whistleblower Report

This Whistleblower Form allows the opportunity to disclose any incident/concern encountered in the workplace that violates any law, rule, regulation, corporate policy or involves any accounting or auditing concerns or irregularities or any behavior that potentially compromises the ethics, reputation, or integrity of Palm Canada.

Palm Canada is committed to taking every reasonable effort to ensure the identity of the individual reporting the incident/concern and the identity of the person who is the subject of the disclosure are kept confidential.

Please provide as much detail as possible. If you wish to remain anonymous, do not include your relationship to persons identified in your report.