Fraud/Theft/Overpayment Form

For Assistance:
Status: NOT FILED
 
 
 
 

Fraud/Theft/Overpayment Form

Reporting Section
Reporter Information
Are you reporting this issue on behalf of yourself?
Are you reporting this issue on behalf of an employer?
Are you reporting this issue on behalf of an individual, other than yourself, who you suspect of fraudulent activities?
Claimant Information