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Home > UI Services > UI Fraud Reporting > Claimant Fraud

      Reporting Claimant UI Fraud

(* Denotes Required Field)

Information about the person committing UI fraud:
* First Name: Required.
* Last Name: Required.
* Address: Required.
* City: Required.
* State: Please select an item.
Zipcode: Invalid format.
Birthdate (MM/DD/YYYY): Invalid format.
* Briefly Explain How They Are Committing Fraud: Required.
When Did Alleged Fraud Start? (MM/YYYY): Invalid format.

If they are working what is their employer's name, address and phone number?
Employer Name:
Employer Address:
Employer City:
Employer State:
Employer Zipcode: Invalid format.
Employer Phone Number: Invalid format.

What is your name, address, telephone number, and email address (optional)?
Keep the information in this section confidential:     
  Your First Name:
  Your Last Name:
  Your Address:
  Your City:
  Your State:
  Your Zipcode: Invalid format.
  Your Phone Number: Invalid format.
  Your Email Address: Invalid format.
 
We will review the necessary files and records in light of the information you have provided to determine the most appropriate action. If you provided information about yourself, you will be contacted again only if it is necessary to complete our investigation.