This report is used for suspected fraud or potential wrong doing by a claimant.
This may include:
Misrepresentation of facts to collect unemployment benefits
Misrepresentation of facts to collect worker compensation
Filing of this report should take no longer than 5 minutes.
The source of this report will remain confidential.
Please provide as much information as possible to assist us in our investigation. If the requested information is unknown to you please state unknown. Thank you for your assistance and information.
To begin the Report click Next.