CTDOL Report Benefits Fraud

Use this form if you see unemployment fraud happening.
Examples of UI fraud include: someone who is working and collecting unemployment benefits, someone who is giving false answers on the weekly certification form, or someone who is collecting benefits that aren’t theirs.

If you are reporting identity theft, use the ID Theft Report Form. Signs of identity theft include receiving a notice of monetary determination when you did not file for unemployment benefits; receiving a 1099 tax form when you did not file for benefits; your employer receiving a 21A notice that you filed for benefits when you did not file for benefits.

For additional fraud and identity theft resources, visit our Fraud Watch Page.

Prefer to remain anonymous?
In most cases, the law allows claimants access to everything in their benefit-claim files. If you want to anonymously report suspicious or illegal activity, avoid leaving any personal information, such as your name and relationship to the person you are reporting.

Your information (optional):

First NameLast Name

Email:

example@example.com

Phone Number:

Please enter a valid phone number.

Claimant Information:*

First NameLast Name

Last four of SSN (if known) :

(format = #### no dashes please)

Phone Number:

Please enter a valid phone number.

Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number:

Reason(s) you suspect they were involved in possible unemployment fraud. Be specific:*

Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Name of business or employer where this person is working:

Employer Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

How were they paid?

CashCheckBarterIf other, please explain:

When did the person begin work?

(MM/DD/YYYY)

What days and hours does this person work?

What type of work were they doing?

For reporting purposes, how did you hear about our fraud hotline?

BillboardWebsiteWord of MouthIf other, please explain:

If this person was unable to work due to being in jail, on vacation, ill or injured, please give as much information as possible:

If this person started a business, please provide:

Name of the business
Address
Phone number
Advertising information
Name of customer(s) who used this business and their address(es) and phone number(s)
Any other information proving the business exists

Provide business information here:

Other information or comments: (such as physical description, social networking site, i.e., Facebook, type of car driven, etc.

To report possible fraud by an employer please provide, business name, address, phone number, owners name, nature of the fraudulent activity, such as:

Business not registered with the state.
Not reporting employees or wages to the state.
Paying employees under the table.
Other information that may be helpful to an investigation.

Provide Employer information here:

Please provide any documents, pictures or information you feel is relevant to this report by attaching them here:

We accept the following file types: pdf, doc, docx, xls, xlsx, csv, txt, rtf, html, zip, mp3, wma, mpg, flv, avi, jpg, jpeg, png, gif

Please verify that you are human*