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Please provide information as follows:
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Organization/Tier: Petrofac

Physical address, branch and/or store number
   

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         * Do you wish to remain ANONYMOUS for this report?
                       
         
If you want Petrofac to know your identity, please complete the following:
Your Name:
 
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Report - Legacy Case Follow-Up
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* Follow-Up Response:

Please take your time and provide as much detail as possible, but exercise care to not provide details that may reveal your identity unless you wish to do so. It may be important to know if you are the only person aware of this situation.
  When you submit the report, you will be issued a Report Key. Please write it and keep it safe . You will need it with the password to follow up on your concern.
Please choose a password for this report:
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Your passwords must match and be at least four characters long.