Report benefit fraud form

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Person committing fraud

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Please give as many details as you can about the person that you suspect may be committing fraud. This information will be treated as confidential. You do not have to give us your name and address but you can if you wish at the end of the form.
Information about the person committing fraud
Title:
Other
First name:
Last name:
Date of birth:
House name/number:
Street name:
Town/City:
County:
Postcode:
Do they have a partner?
If yes, what is their partner's name:
Title:
Other
First name:
Last name:
Date of birth:
Do they have another address?
If yes, what is their other address:
House name/number:
Street name:
Town/City:
County:
Postcode:
Why do you suspect this person of fraud?
What do you suspect this person of doing?
For how long has this been happening?
Please select 'Next' to continue completing the form

Last Updated: 17 November 09