Suspected fraud reporting form 2026

1. Click ‘Get Form’ to open the suspected fraud reporting form in the editor.
2. Begin by filling out the 'Reporting Person Information' section. Enter your name, title, insurance company, mailing address, phone number, and email address.
3. In the 'Case Details' section, indicate whether an SIU investigation has been completed and if civil litigation is pending. Provide relevant dates and case numbers as needed.
4. Proceed to the 'Subject Information' section. Fill in details about the individual or business involved, including their name, date of birth, address, and contact information.
5. Complete the 'Claim/Incident Information' section by entering claim numbers, policy details, potential loss amounts, and a description of services related to the incident.
6. Check all applicable boxes under 'Evidence' and 'Suspected Fraud Types' to provide comprehensive information regarding the suspected fraud.
7. Finally, review all entered information for accuracy before submitting your form through our platform.

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