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You may report anonymously. If so, please provide as much information as possible. If a report does not include enough information, we may not be able to start our investigation.


Information about the Individual/Business Suspected Committing Fraud

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Information on Additional Individual/Business

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Information on Suspected Fraud

Where did suspected fraud occur? (if known)
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Reason for Report

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    What happened?
    How did you find out about it?
    Why do you think it is insurance fraud?


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If you would like a copy of your complaint please PRINT it before hitting the “Submit” button. Please click on Submit Complaint only once, and wait patiently. It may take some time for our system to process your entry. You will receive a confirmation if the form has successfully completed.