Impact Thrift Stores

This form should be used to document a matter, as described in the Business Code of Conduct, that you feel needs to be addressed by The Board of Directors or senior management of Impact Thrift Stores.

Please remember this is a voluntary process and you should supply only information you know is factual. If you would rather speak to one of our specialists who will assist you, please call 877-387-4243 (English/Spanish). Any questions can be addressed to our service provider, Corporate Compliance Partners (CCP), at Impactthriftstore@answernet.com.

This is a confidential, anonymous process established for your protection. However, at the end of the process, you will be asked for your contact information. You are under no obligation to provide it. If you do, only Corporate Compliance Partners will have access to this information, not Impact Thrift Stores. Only Corporate Compliance Partners will contact you, should additional information be needed to address the matter you are reporting.

After this process is completed, Corporate Compliance Partners will forward a confidential report of this matter to the appropriate parties about which you are providing information.
  1. Which company would you like to provide information about today? (required)

  2. Impact Thrift Donation Processing Center / Warehouse
    Impact Thrift Feasterville Store
    Impact Thrift Hatboro Store
    Impact Thrift Montgomeryville Store
    Impact Thrift Norristown Store
    Impact Thrift Donation Point
    Impact Thrift Fashion Outlet In Bristol
  3. Is this the first time you have contacted us about this incident, either through phone, e-mail, fax, letter or the web?

  4. Yes
    No

  5. Are you contacting us to update information you have previously given us?

  6. Yes No

  7. Previous reference number(s), if any. If there are multiple reference numbers, please separate them with commas.



  8. Please describe your relationship with Impact Thrift Stores. Which of the following are you?



  9. If "other," please specify.



  10. What type of situation are you going to provide information about today?



  11. Do you know the location(s) where this is occurring?

  12. Yes
    No

  13. Please list the location(s), if any are known.



  14. How many individuals are involved in this situation?

  15. 1
    2-5
    5 or more
    Not sure

  16. Do you know the name(s) of the individual(s) and their position(s) within the company?

  17. Yes
    No

  18. Would you provide the name(s) of the individual(s) and their position(s) within the company?

  19. Yes
    No

  20. If yes, please provide as much of the following info (names, contact info, relationship to Impact Thrift, name of the department s/he works in, if a vendor or competitor state the company for which they work) below.



  21. Please explain, in as much detail as possible, the facts of the incident -- who, what, when, where, why and how -- (required).



  22. Have you discussed this incident with a member of Impact Thrift management?

  23. Yes
    No

  24. Would you provide the name(s) of the individual(s), their position(s) within the company, the department s/he works in, and the date(s) you discussed this?

  25. Yes
    No

  26. If yes, please provide manager info including name(s), department(s) and date(s) discussed.



  27. Do you have any documentation, evidence or other material which you can provide or that can be obtained to assist in the review of this matter?

  28. Yes
    No

  29. If yes, please give a description of documentation, evidence or materials. If there is any, please send it to us via one of the following ways:



  30. Is there anyone else we can contact who may be able to provide additional information about this matter?

  31. Yes
    No

  32. If yes, please provide their name(s) and contact information.



  33. This is a confidential, anonymous process established for your protection. You are under no obligation to provide us with your contact information. If you choose to provide it, CCP, not Impact Thrift Stores, will contact you should additional information be needed to resolve an issue. For our records, would you be willing to give your name?

  34. Yes
    No

  35. First Name



  36. Last Name



  37. Employee ID or badge number, if applicable.



  38. Street Address 1



  39. Street Address 2



  40. City



  41. State/Province/Other



  42. Zip Code



  43. Country



  44. Home Phone



  45. Work Phone



  46. Cell Phone



  47. E-mail Address



  48. If necessary, would you allow a representative of Corporate Compliance Partners to contact you during the review process?

  49. Yes
    No

  50. By which method would you like to be contacted?



  51. If "other," please specify.



If you are having trouble with the form, please contact Impactthriftstore@answernet.com.
You can also speak to one of our specialists who will assist you by calling 877-387-4243 (English/Spanish).