Report Welfare Fraud


Please correct the field(s) marked in red below:

1

Full name of person suspected of fraud:  

2

Approximate age:  

3

Include full names of all persons living in the home, especially dependents: 

4
Provide the complete address and city where the person suspected of fraud lives:  
5

Is employment income not reported, or misrepresented?

6
Is a false name or fraudulent identification being used to receive assistance?
7
Is a public employee assisting the person suspected of fraud?
8
If Yes, name of public employee:
9
If known, the name of the agency the public employee works for:
10
Is a private business assisting the person suspected of fraud?
11
If Yes, name of private business:
12
Other information that may be helpful:
  1. To receive a copy of your answers, please fill out your email address below and submit.
    CAPTCHA
    Change the CAPTCHA codeSpeak the CAPTCHA code