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Reporting Fraud to the Arizona Department of Economic Security
Please complete the required fields below or call the Fraud hotline at 1(800)251-2436 or (602)542-9449.
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(* Denotes Required Fields)
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Subject(s) of Potential Fraud.
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Please provide as much information about the subject or business you are reporting as possible.
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Benefit Type
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Witness(es)
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*Do you know of other people who could provide information about this suspected fraud, waste or abuse?
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Allegation Summary
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*Please include a detailed description as to why you believe this individual, provider, contractor
or business might be involved in fraud or identity theft. Include the name(s) of all individuals and
businesses involved, name(s) of additional witnesses, and describe any evidence you might
have that supports your allegation. If you are reporting an individual whom you suspect of
fraud, please provide as much information as you can about the suspect’s household members
including their names, dates of birth (or approximate ages) and social security numbers.
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Failure To Accept Suitable Work For Employers
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If you are an employer who offered a job to someone who refused to accept the position, or a
prior employee refused to return to work please provide details below, as the Department must
investigate to determine if it was a bona fide offer. Please provide specifics of the job offered,
including details about the position (pay rate, duties, hours, and start date), date job was
offered, by whom and how it was communicated, and the reason the individual gave for refusing
the job offer. If the offer was not a recall for the job in which the individual previously performed,
describe the former working conditions. Read Additional Return to Work Guidance for
Employers and Employees.
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Your Contact Information
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If you provide your identity it could be subject to disclosure. You will be contacted only if additional information is required. If you would like to receive a confirmation of your fraud referral you must provide your email address.
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Due to strict confidentiality laws, the Department cannot confirm or deny an investigation
initiated by the submission of this form nor can updates or outcomes be disclosed.
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.
Additionally, if you believe you were the victim of identity theft, we encourage you to go to the
Federal Trade Commission (FTC) identity theft website, identitytheft.gov to report and protect
yourself from further victimization. You are also advised to monitor your credit report for any
other fraudulent activity that may come as a result of identity theft.
Thank you for assisting in our efforts to combat fraud, waste, and abuse.
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