Whistleblower Complaint Form

Instructions: Complete the “Whistleblower Complaint Form” and click the "Submit" button at the bottom of this form

Employees and members of the community are encouraged to provide as much specific information as possible, including names, dates, places, the events that took place, and the reason(s) why the incident(s) may constitute a violation or misconduct.

While you may submit a complaint anonymously, we may not be able to determine whether your complaint has merit if we are not able to interview you.

When you click the "submit" button, your form will be sent to whistleblower@nvta.ca.gov Please note that the website will distribute your complaint form to the NVTA Board Chair, NVTA Vice-Chair, and NVTA Legal Counsel.


or you can print your screen and mail the form to: NVTA Whistleblower Program Attention: NVTA Chair, NVTA Vice-Chair, Board Member, or NVTA Legal Counsel 625 Burnell Street, Napa, CA 94559