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Report Food Assistance Store Fraud
This web page is a secure document. Any information you see or enter is encrypted for privacy during transmission and will not be easily read by a third party. (* Denotes Required Field)  

Information about the Store you suspect is committing fraud:
*Store Name:  
*Address:     
*City:   
*County:   
*State:   
Zip Code:  
 Phone:   
*Briefly explain how you suspect they are committing fraud:    
 When Did Alleged Fraud Start?:     [None] Select a Date Delete the Date
     
What is your name, address, telephone number, and email address?
    Your First Name:  
    Your Last Name:  
Your Address:     
Your City:   
Your State:   
Your Zip Code:  
 Your Phone Number:   
 Your Email Address:  

Thank you for your report of suspected fraud. Privacy laws prevent us from disclosing the results of any investigation that may result from your report.