Report Benefit Fraud

It is important to report suspected Welfare fraud to ensure that County tax dollars are being used for their intended reason, which is to help those in need. By reporting suspected fraud, we ensure that there will be sufficient benefits available to help county residents in need of assistance. This is one of the most direct ways where every citizen can make a difference.

Optional information to be completed by the reporter.

Report Benefit Fraud

Optional information to be completed by the reporter.

First Name:

City:

State:

Phone:

E-mail:

Last Name:

Street:

Zip:

Cell Phone:

Although the above information is not required, having your contact information will expedite the investigation if we should need additional information. Where you see an asterisk * below, that information is required.

Name of Person Receiving Assistance

First Name: *

SS#:

Last Name: *

Birthday

Address of Person Receiving Assistance:

Street: *

State:

Last Name:

Zip

What would you like to report? Please check all that apply.

1. Recipient or person in the household is working?

On the Books

Off the Books

Name of person employed:

First Name: *

Name of Employer:

City:

Zip:

Last Name: *

Employer Address:

State

2. Recipient is not employed where reported.

Are they working somewhere else? *

Yes

Name of Employer:

City

Zip

Employer Address:

State:

3. There is an unreported person living in the home. Name of person(s)

First Name:

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Report Benefit Fraud