Contact Information

Step 1 of 10

Instructions
While this information is optional, providing us with your name and telephone number will allow us to contact you with any additional questions.

Location & Type of Fraud Committed

Step 2 of 10

What type(s) of fraud, waste, or abuse are you reporting? (Check all that apply)

Time and Amount Lost

Step 3 of 10

Details of Loss

Step 4 of 10

Reason and Parties Involved

Step 5 of 10

Are other public employees or private third party parties involved?

Detection of Suspected Loss

Step 6 of 10

Is the suspected loss or illegal activity continuing?

Witnesses to Suspected Loss/Illegal Activity

Step 7 of 10

Investigation Process Status

Step 8 of 10

Is an investigation in progress?

Actions Taken in Result of Suspected Loss/Illegal Activity

Step 9 of 10

Has a police report been filed?

Has the District Attorney been notified?

Supporting Evidence/Documents

Step 10 of 10

Click to upload a file or drag and drop

Click to upload a file or drag and drop

Click to upload a file or drag and drop