To ensure that your allegation can be processed and/or investigated thoroughly, please provide as much information as possible on the allegation using the questions below:

  • Who was involved?
  • What are the details of the fraudulent activity?
  • When did the fraud take place?
  • Where did the fraud take place?

Employer Agency Fraud Report Form

Note:  You have the option to submit this allegation anonymously. However, this may limit our ability to act on the allegation, so any contact information would be valuable.

Your Contact Information

If you have any other questions, please call 1.844.413.7283. Thank you!

4 + 0 = ?