DETR Unemployment Insurance Fraud Reporting Form

Please provide all known information regarding the person you suspect of committing fraud. Fields marked with an asterisk (*) are required.
Your identity will be kept confidential. We cannot provide information on the results of any investigation. Your information is appreciated.

Suspected person's

Where is this person working?

Additional Work Information

May we contact you? (All information is kept strictly confidential).

By submitting this report, I certify that all information provided is true to the best of my knowledge. I understand that filing a false report is a fraudulent act and may be subject to civil and criminal action.