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Do you suspect fraud?
This form should be utilized if you suspect someone is committing fraud against Department of Family Services Department. The more information you can provide, the better the Department can investigate the case. If you would like to contact the Department you can call 307-777-5362 or 307-335-2682.
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Email *
Please provide the name of the person you believe is committing fraud.   *
What programs are affected by the suspected fraudulent activity (if known)?
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Please provide the address of the person(s) in question. (If you do not know the street address, please provide the city)
Describe the suspected fraudulent activity.  Please note that this form is not to be used for reporting fraud for the ERAP Program.  Please go to the following link to report ERAP Fraud:  https://docs.google.com/forms/d/e/1FAIpQLSeqSdqwMy-kXaHiWXBumCcUl5kDwhqbM9LE-UKLCw_v0zuMUg/viewform
What are the names of the other household members? Please include names of children, if any and all adults.
What is the estimated time the fraudulent activity has occurred? (Please provide dates if possible)
I wish to remain anonymous *
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