TK-042 Template Title: Lay Complaint & Rumour Intake Record

THE HSWAGATA BUDDHA TOOTH RELIC PRESERVATION PRIVATE MUSEUM

FOR INTERNAL USE ONLY

Template No.: TK-042

Template Title: Lay Complaint & Rumour Intake Record

Related Research Case IDs / Cluster: Cluster E (Science, Testing & Misinformation)

Linked Templates / Policies:

• TK-042 Lay Complaint & Rumour Intake Record

• TK-045 Public Science Claim Pre-Release Review

• TK-054 Forged Letters & False Science Claim Response

• Institutional Policies for Relic Stewardship (HSWAGATA)

Date of form: ____ / ____ / ______

Prepared by / Role: _______________________

Office / Unit: ____________________________

Country / Location: _______________________

Confidentiality Level:
Internal only [✔ ] Restricted [ ] Sacred-Restricted / Sensitive [ ]

Use of this form (tick):
New case / action [✔ ] Follow-up [ ] Annual review [ ] Archive only [ ]

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TK-042 — Lay Complaint & Rumour Intake Record

1. Purpose of This Record

This form is used to record and manage public doubts, rumours, or complaints related to:

• Relic testing (DNA, Carbon-14, laboratory claims)

• Scientific language used in relation to relics

• Media statements or online content about relic authenticity

This record does not judge truth at intake stage.
It ensures calm, ethical, and traceable handling.

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2. Source of Rumour or Complaint

(Select all that apply)

• Source type:
  ☐ Individual person
  ☐ Lay devotee
  ☐ Monk / nun
  ☐ Media outlet
  ☐ Social media
  ☐ Website / blog
  ☐ Messaging app (Line / Viber / WhatsApp / Telegram)
  ☐ Other: _______________________

• Name of source (if known): _______________________

• Contact details (if provided): _______________________

• Anonymous submission: ☐ Yes ☐ No

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3. Exact Claim or Statement Received

(Write clearly. Do not paraphrase.)

• Exact wording / quote:

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• Type of material received (tick):
  ☐ Spoken statement
  ☐ Written message
  ☐ Screenshot
  ☐ Image
  ☐ Video
  ☐ Link / URL

• Attachments received: ☐ Yes ☐ No
  (If yes, list file names or references)

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4. Date and Channel of Receipt

• Date received: ____ / ____ / ______

• Time (if relevant): __________

• Received via:
  ☐ In person
  ☐ Phone call
  ☐ Email
  ☐ Social media
  ☐ Messaging app
  ☐ Third-party report

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5. Initial Risk Assessment (Intake Level)

(To be completed by intake officer only)

• Perceived risk level:
  ☐ Low — minor confusion or personal doubt
  ☐ Medium — public misunderstanding or repeated claim
  ☐ High — reputational, legal, religious, or social harm risk

• Reason for risk level (short explanation):

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6. Assigned Response Officer

• Name: ______________________________

• Role / Department: __________________

• Date assigned: ____ / ____ / ______

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7. Immediate Action Taken (if any)

(Do not include final decisions here)

• ☐ Acknowledgement sent to complainant

• ☐ Logged for monitoring only

• ☐ Referred to another template or unit

• ☐ No action at intake stage

Details (if applicable):

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8. Case Status

(Current status — update as needed)

• ☐ Open (under review)

• ☐ Clarified (response prepared or delivered)

• ☐ Closed (no further action required)

Date of status update: ____ / ____ / ______

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9. Cross-Reference (if applicable)

Related internal case numbers or templates:

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10. Intake Officer Declaration

I confirm that this record is neutral, factual, and complete, and that no scientific or doctrinal judgment has been made at this stage.

Name: ______________________________
Signature: __________________________
Date: ____ / ____ / ______

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11. Archival Note (Office Use Only)

• File location / archive code: _______________________

• Retention category: ☐ Short-term ☐ Long-term ☐ Sensitive

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End of Template TK-042

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