This report is used for suspected fraud or potential wrong doing by a company or employer.
This may include:
Operating without Workers' Compensation Insurance
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.