Report Fraud

Your Information

Your Name *

Your Phone *

Your Email *

About The Fraud

Preferred contact method *

Phone

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Describe the type of fraud that was committed *

Name of the person or company who committed the fraud *

How do you know the person or company? *

In which state(s) was the fraud committed in? *

When did the fraud occur (specify a date or date range)? *

Do you have any proof to support your claim, including documents? *

Status of Your Claim

Select one of the following options *

I have already filed a claim regarding the provided information with another party

I have not filed a claim, but I have spoken to another party about this fraud

This is the first time I am submitting the information about this fraud to anyone