INVESTIGATIONS AND RECOVERY
CONCERNED CITIZENS REPORT
Use this form to report a client that has received benefits or has applied for benefits that you believe he/she is not entitled
to. Examples of situations that may be considered fraudulent are: unreported income (working, gambling winnings, court
settlements), hidden assets (such as bank accounts, property, etc.), unreported household changes (someone moved in/out),
unreported changes in expenses (rent decrease), etc.
NOTE: BECAUSE OF CONFIDENTIALITY LAWS WE ARE NOT ABLE TO INFORM OR RESPOND TO
YOU AS TO THE OUTCOME OR SPECIFICS OF A CASE.