Complete the form online or by voicemail. Please note, it may not be possible to remain anonymous when completing ACIRS report by voicemail or requesting braille copy through email.

• Online by clicking here
• Voicemail: 317-234-3905
• Alternate format: If you require Braille, large text,  or would like a Word version of the form, please email ada@fssa.in.gov

To have an advocate: The Office of Healthy Opportunities works with all divisions and offices in FSSA. We advocate to improve staff experience and make sure you have what you need to work successfully.

To access resources: When completing a report, the tool will refer you to the appropriate reporting parties and share resources that may be helpful to you. For example, we include information on FSSA’s State Personnel Department team for personnel concerns and incidents.

To inform trends: By listing the appropriate division or office, we connect with leadership or key supervisors to help address a concern or incident. We track report trends to create strategies that address recurring concerns across the agency.

Confidentiality: Anonymous reports cannot be traced to you. This is not always the case when concerns are taken directly to a supervisor or peer. If you identify yourself in a report, your information will be stored securely. Your contact information will not be shared unless consent is provided. This confidentiality applies to current employees only. There are circumstances when information will need to be shared, even without consent, due to ethical or legal obligations, including if requested for an employment investigation or litigation.

You can submit a report for a concern or incident related to:

• Career advancement
• Communication barriers with team/division/agency leadership
• Inclusion, opportunity, and belonging
• Issues related to constituents
• Issues related to provider or vendor relations
• Violation of state ethics code
• Workload

You can submit a report anonymously or with contact information. Based on your responses, we may share relevant resources or redirect you to appropriate parties.

When you submit anonymously:

• We will note your concerns.
• We will track trends in reporting from your divisions.
• You will not receive updates on your submission.

When you submit with your contact information:

• We may connect you with a member of the Review Council.
• We will identify opportunities for support.
• You will receive updates on your submission.

Please DO NOT submit false accusations or personnel policy violations. Incidents or concerns of discrimination, hostile work environment, retaliation, compensation, and other related items must be reported to FSSA’s State Personnel Department team or INSPD Employee Relations.

The Review Council is made up of the individuals in the positions listed below:

• FSSA ADA coordinator: Responsible for supporting disability-related needs and experiences for FSSA staff and constituents.
• FSSA Office of General Counsel, Chief of Investigations: Leads the FSSA unit responsible for investigating misuse of agency dollars and programming.
• FSSA Office of General Counsel deputy general counsel: Serves as attorney for FSSA and specializes in agency program and service areas.
• FSSA Chief Health Equity and ADA Officer: Leads agency strategy for policy, programming, and employee experience on issues related to social equity and constituent needs.
• FSSA Human Resources Team: Serves as the representative of the State of Indiana's State Personnel Department and consists of certified HR professionals.

You will receive a report ID number to submit any follow-up attached to your existing report. If your submission was anonymous, the council will track trends in reporting from your division or office and identify opportunities for support. If you provide your contact information when you submit your report, the council will follow up with you when appropriate.

If the council identifies multiple reports from a unit, they will notify appropriate leadership of those concerns to strategically address the issue(s). Potential strategies include:

• Office or division-wide listening sessions with recommendations and action steps
• Identified trainings and coaching sessions on key topics
• Goal setting with HR representatives
• Lunch-and-learns to educate about specific topics related to the reported incident or experience

Staff can also complete a separate survey to let us know about their experience using ACIRS. The ACIRS experience survey includes questions about previous use of ACIRS, comfort using the system again, and relevance of resources and information provided.

• ACIRS FSSA Reporting System Overview Process
• The Office of Healthy Opportunities
• FSSA Human Resources