Affidavit of Qui Tam Relator for Whistleblower Action

Whistleblower Affidavit Template for False Claims Act Qui Tam Actions

When you have direct knowledge of fraud against the government, filing a qui tam action under the False Claims Act requires detailed documentation and sworn testimony. This Affidavit of Qui Tam Relator template helps whistleblowers (relators) organize their knowledge of false claims, establish original source status, and provide the comprehensive disclosure required by the Department of Justice.

Built for Legal Professionals and Whistleblowers

Paperform's flexible form builder lets you create legally compliant affidavits that look professional while capturing complex information in a structured format. This template guides relators through every essential element of a qui tam disclosure, from personal knowledge of fraud schemes to specific false claims documentation, ensuring nothing critical is missed before filing under seal.

The document-style editor means you can customize sections to match specific fraud patterns—whether healthcare billing fraud, defense contractor overcharges, grant fraud, or other False Claims Act violations—while maintaining the formal structure required for court filings and DOJ review.

Streamline Complex Legal Workflows

For law firms specializing in qui tam litigation, this template integrates seamlessly into your case intake process. Use conditional logic to reveal additional fields based on fraud type, employment relationship, or evidence sources. Connect submissions to your case management system, trigger client communication workflows through Stepper, and maintain a complete audit trail.

Need signatures on the completed affidavit? Papersign (papersign.com) lets you send the finalized document for secure eSignature, creating court-ready sworn statements with legally binding digital signatures and timestamps.

Secure, Compliant Documentation

Qui tam actions involve highly sensitive allegations and confidential information. Paperform is SOC 2 Type II compliant with enterprise-grade security, encrypted data transmission, and customizable access controls to protect whistleblower identity and case details until the seal is lifted.

Whether you're a whistleblower attorney building a disclosure package, a relator documenting your knowledge, or a compliance professional evaluating potential False Claims Act violations, this template provides the structure and security needed for one of the most consequential legal filings in federal court.

Trusted by legal professionals nationwide, Paperform delivers professional forms and workflows without coding—so you can focus on building strong cases that hold fraudsters accountable.