---
title: Qui Tam Whistleblower Callback Request Form Template | Paperform
description: Confidential callback request form for qui tam whistleblowers to report fraud, detail evidence, and connect with legal counsel. Built for law firms and compliance teams.
url: "https://paperform.co/templates/qui-tam-whistleblower-callback-request-form"
type: static
generatedAt: "2026-03-28T00:44:58.110Z"
---

[← Back to free form templates](/templates/)    ![Qui Tam Whistleblower Callback Request Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/qui-tam-whistleblower-callback-request-form.png)
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When you suspect fraud against the government, speaking up can feel overwhelming—but you don't have to do it alone. This **Qui Tam Whistleblower Callback Request Form** is designed for individuals who have witnessed potential fraud involving government contracts, healthcare programs, or federal funds and want to connect with experienced legal counsel in a secure, confidential manner.

Qui tam provisions under the False Claims Act allow private citizens (known as "relators") to file lawsuits on behalf of the government and share in any recovery. Whether you've seen billing fraud, contract violations, kickbacks, or other schemes, this form helps you take the first step by requesting a confidential callback from a qualified attorney.

**Who this form is for:** This template is built for law firms specializing in whistleblower representation, compliance hotlines, legal aid organizations, and advocacy groups supporting qui tam cases. It's equally valuable for corporate compliance teams, government accountability nonprofits, and legal professionals who need a structured, sensitive intake process for potential whistleblowers.

**How Paperform makes whistleblower intake simple and secure:** Paperform's flexible form builder lets you create a professional, branded callback request that reassures potential whistleblowers while gathering the critical details attorneys need to evaluate a case. Conditional logic ensures the form adapts based on fraud type and government involvement, so you only ask relevant follow-up questions. Submissions can be routed directly to your CRM, case management system, or secure email, and Paperform's SOC 2 Type II compliance and encryption safeguards sensitive information throughout the process.

For firms handling multiple whistleblower inquiries, **Stepper** (stepper.io) can automate your follow-up workflow—assigning cases to the right attorney, scheduling callback appointments, sending secure document requests, and keeping your team coordinated without manual handoffs. If you need signed engagement letters or confidentiality agreements before proceeding, **Papersign** (papersign.com) lets you send eSignature requests directly from form submissions, streamlining onboarding while maintaining a full audit trail.

This template is designed to balance legal precision with approachability, helping potential whistleblowers feel heard and supported from the very first interaction.
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