Report Fraud > Welfare Fraud - Recipients

Welfare Fraud Recipient Complaint Form


The Office of Inspector General is strongly committed to identifying and eliminating fraud in Welfare programs, such as cash assistance, food stamps, child care, home energy assistance, and medical assistance.

A complaint should be completed only if an individual has been issued benefits that you believe the individual was not entitled to receive. To ensure that your complaint is investigated thoroughly, please provide as much of the following information as possible.

Note: All fields with a red asterisk (*) must be completed for the complaint to be processed.

OIG - Individual Welfare Fraud Complaint Form :: Individual Welfare Fraud Tip
 
Recipient's First Name*
Recipient's Last Name*
Recipient's Address
City*
State*
Zip Code
Date of Birth  
Approximate Age (if DOB unknown)
Recipient's Social Security Number
Recipient's Driver's License Number
Recipient's Children
Explain the complaint:*
Your Name
Your Address
Your City
Your State
Your Zip Code
Your Telephone Number
Your Cell Phone
Your email address

 

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