Department of revenue louisiana 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the 'Name of Individual' in the designated field. Ensure accuracy as this is crucial for identification.
3. Next, fill in the 'Address' and 'Date of Birth'. These details help establish the individual's identity.
4. Provide the 'Social Security Number' and 'Driver’s License Number'. This information is essential for verification purposes.
5. Enter the 'Individual’s Phone Number' for any follow-up communication.
6. Complete the employer's details by filling in 'Name of Employer', 'Employer’s Address', and 'Employer’s Phone Number'.
7. Mark all applicable types of fraud from the list provided. This helps categorize the report effectively.
8. In the section for a brief description, provide a detailed account of the suspected fraud. Attach any supporting documents if available.
9. Indicate whether you permit sharing this information with other agencies by selecting ‘Yes’ or ‘No’.
10. If desired, provide a contact number for follow-up from a representative of the Louisiana Department of Revenue.

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