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ANTI - FRAUD UNIT COMPLAINT FORM 1 2 4 5 - ok 2026
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- Click ‘Get Form’ to open it in the editor.
- Begin by filling out 'YOUR INFORMATION' section. Enter your name, address, city/state/zip, phone number, social security number (SSN), and date of birth (DOB). Ensure all details are accurate.
- Next, complete 'THEIR INFORMATION' section with the same details for the individual or entity you are filing a complaint against.
- Indicate if you have reported this matter to any other agency. If yes, provide the name of the agency or entity.
- Fill in 'THEIR EMPLOYER INFORMATION' with the employer's name, address, city/state/zip, and work phone number.
- If applicable, state whether there is a civil or criminal case pending and include the case number if known.
- On page 2, describe your complaint in detail. Include any evidence available that supports your allegations along with relevant dates and policy numbers. You may attach additional pages if necessary.
- Finally, sign and date the form to confirm that all information provided is true and accurate to the best of your knowledge.
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