Statement of Purpose

Thank you for reaching out to disclose to the Office of Ethics & Compliance (OEC) an actual or potential conflict of interest you may have as a Veritas employee.
A conflict of interest is a situation where outside activities, financial interests, or receipt of gift and entertainment may lead to divided loyalties. Veritas employees are expected to act in Veritas’ best interests and to avoid conflicts of interests or the appearance of any conflicts of interests.
We encourage you to discuss the potential conflict with your manager and ask for her approval. After you submit the form, the OEC will get back to you within a couple of days, directing you to upload your manager’s approval for the activities and asking follow up questions, as needed.

If you would like to report a violation of the Code of Conduct or concern about another individual, follow this link to “Report a Concern”.

Items marked with a diamond ♦ are required fields.

Your Information (You, the person completing the form)

	Save “Your Name & Contact Information” for future use. (By checking this box you agree to allow NAVEX Global to store your information in a “Cookie” on this computer.)

Your Name & Contact Information	Prefix (Select One) ♦ First Name M.I. ♦ Last Name ♦ Phone Number Include the area code, extension, and/or dialing codes if applicable. ♦ Email (Format: username@domain.com) ♦ Employee ID ♦ Job Title ♦ Department

Location

Potential Conflict of Interest

Attention:	You may only report one type of Conflict of Interest at a time. If you have additional existing or potential conflicts of interest, submit a separate report for each.
	Select the type of Existing or Potential Conflict of Interest you wish to report.

	Add Issue Add Issue

Details	♦ Approximate Date of Incident (Format: mm/dd/yyyy) ♦ Provide as much detail as possible regarding this existing or potential Conflict of Interest. ♦ Provide a description of your job duties and work schedule.

Previously Disclosed	♦ Have you previously disclosed this issue to the Office of Ethics and Compliance? Yes No (Select One) ♦ Approximate date this was previously disclosed? (Format: mm/dd/yyyy) ♦ To whom was this previously disclosed? ♦ Has your manager approved this activity? Yes No (Select One) ♦ Manager Name

Acknowledgements

Acknowledgements	♦ Data Privacy Consent Veritas' EthicsLine is provided by Veritas for individuals to report issues relating to Accounting and Auditing, Bribery or Other Improper Payments, and Fraud or Falsification of Company Documents or Records. Use of Veritas' EthicsLine is entirely voluntary. You will not be penalized and your employment will not be affected if you elect to use or not to use the EthicsLine. European Economic Area (“EEA”) data privacy regulations require that a person making a report containing personal data must be notified of certain collection and retention practices regarding information submitted through this system, as well as consent to the processing of information as described in this Notice. Because you have indicated that you either live in the European Economic Area or the matter about which you are reporting arises from a country within the European Economic Area , you are being asked to read and accept the terms contained in this Notice. Please indicate your consent by clicking the “Consent” box below and clicking on the “Continue” tab at the bottom of this Data Privacy Notice. If you do not wish to consent to the processing of your information as described in this Notice, please click the “Cancel” tab below as we are unable to accept any information through this system and ask that you please report this matter to your local management, Human Resources or Legal Department. Collection of Information: We may collect the following information through EthicsLine: your name, job function and contact details; the name and other data about individuals that are named in your report; a description of the conduct at issue in your report including time, date and location, as well as other pertinent information. The information provided by you will be treated confidentially. If you identify yourself you will facilitate our investigation and your report will be more effective. Therefore, we encourage you to identify yourself. Processing and Access to Information: Your name, contact details and job function will be used to contact you in order to follow up to your report with additional questions or updates if needed. The information regarding the conduct at issue will be used to conduct an investigation and to trigger any action that may be deemed necessary. All of the information that you report to us will be stored encrypted in the database of the EthicsLine hosted by EthicsPoint, Inc. in the USA (“EthicsPoint”). EthicsPoint adheres to the Safe Harbor Principles and Veritas has intra-company agreements based upon the standard contractual clauses approved by the European Data Protection Authorities. After a report is made, a detailed record is prepared and sent directly to the Veritas Office of Ethics and Compliance as the party responsible for the operation of EthicsLine. Unless required by law or litigation, information in the EthicsLine database may only be reviewed and used by those individuals who need to know the data to fulfill their job duties. These individuals may include appropriate Veritas Human Resources, Internal Audit, Legal, Security, or management personnel, or technical staff at EthicsPoint. Those individuals may be located in the United States or in another country where the European Commission has not found that the privacy laws ensure the same level of protection of personal data as provided in the European Economic Area. Veritas will evaluate the information you provide, and may conduct appropriate investigations, and take corrective action. All individuals you identify through your EthicsLine report will be informed about the fact that a report has been received. The information will not reveal your name or identity. In addition, all individuals you identify will have the right to correct information reported by you. Veritas will take adequate technical, organizational, and legal steps to secure the information you provide. It also requires EthicsPoint to adequately secure your personal data and not use it for any unauthorized purposes. You may request appropriate access to information collected about you through the EthicsLine to make appropriate corrections by contacting the Office of Ethics and Compliance at ethicsandcompliance@veritas.com.” I consent to the processing of my personal data and information as described above. ♦ Code of Conduct I have read and understood the Company Code of Conduct. ♦ True & Accurate The information contained in this form is true and accurate to the best of my knowledge and belief.

♦

Data Privacy Consent

Veritas' EthicsLine is provided by Veritas for individuals to report issues relating to Accounting and Auditing, Bribery or Other Improper Payments, and Fraud or Falsification of Company Documents or Records. Use of Veritas' EthicsLine is entirely voluntary. You will not be penalized and your employment will not be affected if you elect to use or not to use the EthicsLine.

European Economic Area (“EEA”) data privacy regulations require that a person making a report containing personal data must be notified of certain collection and retention practices regarding information submitted through this system, as well as consent to the processing of information as described in this Notice. Because you have indicated that you either live in the European Economic Area or the matter about which you are reporting arises from a country within the European Economic Area , you are being asked to read and accept the terms contained in this Notice.

Please indicate your consent by clicking the “Consent” box below and clicking on the “Continue” tab at the bottom of this Data Privacy Notice. If you do not wish to consent to the processing of your information as described in this Notice, please click the “Cancel” tab below as we are unable to accept any information through this system and ask that you please report this matter to your local management, Human Resources or Legal Department.

Collection of Information:

We may collect the following information through EthicsLine: your name, job function and contact details; the name and other data about individuals that are named in your report; a description of the conduct at issue in your report including time, date and location, as well as other pertinent information. The information provided by you will be treated confidentially. If you identify yourself you will facilitate our investigation and your report will be more effective. Therefore, we encourage you to identify yourself.

Processing and Access to Information:

Your name, contact details and job function will be used to contact you in order to follow up to your report with additional questions or updates if needed. The information regarding the conduct at issue will be used to conduct an investigation and to trigger any action that may be deemed necessary. All of the information that you report to us will be stored encrypted in the database of the EthicsLine hosted by EthicsPoint, Inc. in the USA (“EthicsPoint”). EthicsPoint adheres to the Safe Harbor Principles and Veritas has intra-company agreements based upon the standard contractual clauses approved by the European Data Protection Authorities. After a report is made, a detailed record is prepared and sent directly to the Veritas Office of Ethics and Compliance as the party responsible for the operation of EthicsLine. Unless required by law or litigation, information in the EthicsLine database may only be reviewed and used by those individuals who need to know the data to fulfill their job duties. These individuals may include appropriate Veritas Human Resources, Internal Audit, Legal, Security, or management personnel, or technical staff at EthicsPoint. Those individuals may be located in the United States or in another country where the European Commission has not found that the privacy laws ensure the same level of protection of personal data as provided in the European Economic Area.

Veritas will evaluate the information you provide, and may conduct appropriate investigations, and take corrective action. All individuals you identify through your EthicsLine report will be informed about the fact that a report has been received. The information will not reveal your name or identity. In addition, all individuals you identify will have the right to correct information reported by you.

Veritas will take adequate technical, organizational, and legal steps to secure the information you provide. It also requires EthicsPoint to adequately secure your personal data and not use it for any unauthorized purposes.

You may request appropriate access to information collected about you through the EthicsLine to make appropriate corrections by contacting the Office of Ethics and Compliance at ethicsandcompliance@veritas.com.”

I consent to the processing of my personal data and information as described above.

♦

Code of Conduct

I have read and understood the Company Code of Conduct.

♦

True & Accurate

The information contained in this form is true and accurate to the best of my knowledge and belief.

Password & Submit

Password	♦ Password ♦ Re-Enter Password (Passwords must be at least four(4) characters in length)

Submit	Using your Report Key and Password you can "Follow-Up" on this report returning to this form and clicking on the “Follow-up” link at the top of the page. Follow-up will allow you to: Upload documents Respond to follow-up questions/comments Provide additional information