REPORTING WELFARE FRAUD COMMITTED BY A SOCIAL …
REPORTING WELFARE FRAUD COMMITTED BY EITHER A HUMAN SERVICES CLIENT OR PROVIDER
|Client or Provider Name: |
|Client or Provider Address: |
|Client Date of Birth: |
|Client Social Security or Provider Vendor #: |
|Check all that apply: |
|PUBLIC ASSISTANCE FRAUD |
|FOOD STAMP FRAUD |
|MEDICAID FRAUD |
|DAY CARE FRAUD |
| |
|**For Section 8 housing fraud, call the Rochester Housing Authority Hotline at 328-0980** |
|Please enter all the information you have regarding the allegation or suspicion of how the client(s) or provider(s) is/are committing welfare|
|fraud: |
| |
| |
| |
| |
| |
| |
| |
| |
| |
| |
| |
| |
| |
|Your name, address, phone number, and e-mail address is optional, however, it would be helpful to us in case we need to contact you for |
|additional or clarifying information. |
|NAME: |
|ADDRESS: |
|PHONE: E-MAIL: |
NOTE: Because of confidentiality laws we are NOT able to inform or respond to you as
to the outcome or specifics of a case.
OUR ADDRESS AND FAX NUMBER:
Monroe County Department of Human Services
Special Investigations Unit
111 Westfall Rd., Room B10
Rochester, New York 14620
FAX: (585)753-6730 / Fraud Hotline: (585)753-6639
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related searches
- find a song by a few lyrics
- fafsa fraud by a parent
- calculate a number by a percentage
- increase a number by a percent
- violent crimes committed by race
- crimes committed by teens
- worst crimes committed by teens
- murders committed by juveniles
- worst crimes committed by children
- crimes committed by children
- python multiply a list by a number
- list of crimes committed by trump