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Job & Family Services Office of Unemployment Insurance Operations
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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)  

 Please provide as much information as possible regarding unemployment insurance fraud or ineligibility:
    *First Name:  
*Last Name:  
*Address:     
*City:   
*State:   
Zip Code:  
 Birthdate:     [None] Select a Date Delete the Date
*Briefly Explain How They Are Committing Fraud or Are Ineligible:    
 When Did Alleged Fraud or Ineligibility Start?:     [None] Select a Date Delete the Date
       
If they are working what is their employer's name, address, and phone number?
    Employer Name:  
Employer Address:     
Employer City:   
Employer State:   
Employer Zip Code:  
 Employer Phone:   
What is your name, address, telephone number, and email address (optional)?
    Your First Name:  
    Your Last Name:  
Your Address:     
Your City:   
Your State:   
Your Zip Code:  
 Your Phone Number:   
 Your Email Address:  

We will review the necessary files and records in light of the information you have provided to determine the most appropriate action. If you provided information about yourself, you will be contacted again only if it is necessary to complete our investigation.