Whistleblower Form

At Distalmotion, we believe that a commitment to legal and ethical behavior at all times is essential for upholding our values. We encourage all employees, customers, vendors, and other stakeholders to report any concern or suspected violation of our Code.

We are committed to ensuring a confidential and secure reporting system. All information you provide will be processed on a confidential basis whether you chose to remain anonymous or not. You may also report anonymously by email compliance@distalmotion.com or by mailing us your report at:

Distalmotion SA
Attn: Compliance Manager/Personal and Confidential
Route de la Corniche 3B,
1066 Epalinges
Switzerland

Are you a current employee of Distalmotion?

Yes

If No, what is your relationship to Distalmotion?

Who are the individuals involved in the incident? (Required)

When did the incident occur?

Did the incident occur more than once?

Yes

What type of incident would you like to report? (Required). Refer to the Notice for description.

What would you like to report? (Required)

Please provide all details regarding the alleged incident, including any information that could be valuable in the evaluation of this situation, but exercise care to not provide details that may reveal your identity unless you wish to do so.

Was someone from the management involved in the incident?

Yes

Has the incident been reported to anyone in Distalmotion?

Yes

Has the incident been reported to anyone outside of Distalmotion?

Yes

Were there any witnesses?

Yes

If Yes, list the name(s) of the witnesses

Do you have files to support your report?

Yes

If Yes, upload the document(s) you are willing to attach to your report

Would you be willing to assist further if asked?

Yes

If Yes, please provide your email address:

By providing your email address, you enable Distalmotion to email you. Your email address will remain confidential as allowed by applicable law.

Notice

Required Information

Failure to provide information marked as required may prevent Distalmotion from conducting a proper investigation and could lead to the dismissal of the report.

Confidentiality Commitment

The form is designed to be anonymous. Whether or not you choose to voluntarily provide your name when completing the form, Distalmotion is committed to protecting the identity of all individuals who use its reporting system as well as all individuals who may be named in the report. However, while Distalmotion will not disclose your identity without your express permission, it is possible that your identity may be indirectly discovered during the investigation based on the information you provide.

Incident Description

Accounting, Auditing, and internal financial controls: Questionable procedures relating to accounting, auditing, or financial controls. Examples include misstatement of financial reports, violations of generally accepted accounting principles, billing issues, information security, and financial concerns.

Anti-Trust: questionable practices which result in conspiring to reduce fair competition. Example include price fixing, bid riffing, market allocation, monopolization etc.

Bribery and Corruption: Direct or indirect participation in any bribes, kickbacks, illegal gratuities or improper inducements or payments to any customer, business partner, consultants, supplier and/or government official.

Compliance and Regulation Violation: Violations of a rule, regulation, law, operating procedure, practice or protocol.

Conflict of Interest: Actions that influence the exercise of one’s duty of loyalty. Examples include inappropriate vendor relations, bribery, and exploitation of confidential information.

Discrimination: The denial of privileges or rights to individuals based on their race, color, ancestry, ethnicity, gender (sex), age, religion, origin, level of education, political affiliation, physical appearance, disability, marital status, or sexual orientation.

Employee relations: Issues related to the way employees work with each other; their supervisors/managers; and the company. Issues include promotions, job or shift changes, terminations, disciplinary actions and performance.

Falsification of Records: Altering, fabricating, destroying, misrepresenting, or forging contracts or documents for personal gain.

Fraud: A willful or deliberate act committed with the intention of obtaining money from any government programs through misrepresentation, deception, or other unethical means.

HIPPA: Violation of security and privacy of patients' medical records and other health information.

Harassment: Unwanted verbal or physical behavior of an inappropriate nature.

Improper Giving or Receiving of Gifts: Giving, receiving or solicitation of valuables which could be interpreted as an effort to influence a business relationship or decision.

IT Security: Violations of information security policies, code of computer conduct that govern conduct while using the network or confidential information resources.

Data Breach: A security incident that results in the unauthorized access, disclosure, alteration, or destruction of personal data. It occurs when sensitive information, such as names, addresses, or financial details, is compromised, potentially leading to risks like identity theft, fraud, or privacy violations.

Retaliation: Statements, conduct or actions discharging, demoting, suspending, threatening, harassing or discriminating against an employee because of any lawful act taken by such employee in connection with reporting a violation of law or Company policy, filing a complaint, or assisting with an investigation.

Safety Concerns: Conditions that compromise the health, safety, and well-being of employees, customers, vendors, or visitors. Sexual Harassment: Unwanted and offensive sexual advances or sexually offensive remarks or acts. Examples may include unwanted conversation, obscene gestures, comments, jokes, touching, staring/leering or whistling.

Other: Select if the provided list of incidents does not describe the activity you are reporting.

Disclaimer

The provided incident descriptions are for informational purposes only and have no binding effect.

Report submitted may or may not be investigated at the sole discretion of Distalmotion.