azdes-community.secure.force.comArizona Department of Economic Security - Report Fraud or Misconduct

Toggle navigation Arizona Department of Economic Security Your Partner for a Stronger Arizona About Services How do I? Documents Center Media Center Office Locator Report Fraud [ApplicationName] [UserName]About Services How do I? Documents Center Media Center Office Locator Report Fraud [ApplicationName] [UserName]English/Español: English Español Required! Please complete the reCAPTCHA to continue. Other Fraud Thank you, your submission has been received. Please understand we are prohibited by law from revealing any information regarding an investigation. Return to DES home page. Close Failure! There has been an unexpected error submitting your referral. Please return at a later time and try again. Close Reporting Fraud to the Arizona Department of Economic Security Please complete the required fields below or call the Fraud hotline at 1(800)251-2436 or (602)542-9449. Subject(s) of Potential Fraud. Missing required fields. See highlighted fields below. Add Additional Subject Please complete the form below to add an additional subject. Please provide as much information about the subject or business you are reporting as possible. Add Additional Subject Cancel Use the grid below to delete added subjects. Full Name Business/Provider/Contractor Name DOB Telephone Address Benefit Type *What are you reporting? Please select one or more options below. Please select one or more options below Witness(es) Missing required fields. See highlighted fields below. Add Additional Witness Please complete the form below to add an additional witness. Add Additional Witness Cancel Use the grid below to delete added witnesses. Full Name Email Address Telephone Number Address Allegation Summary Please include a detailed description. Failure To Accept Suitable Work For Employers Your Contact Information If you provide your identity it could be subject to disclosure. You will be contacted only if additional information is required. If you would like to receive a confirmation of your fraud referral you must provide your email address. Submit Due to strict confidentiality laws, the Department cannot confirm or deny an investigation initiated by the submission of this form nor can updates or outcomes be disclosed. We will review the necessary files and records in light of the information you have provided to determine the most appropriate action. If you provided information about yourself, you will be contacted again only if it is necessary to complete our investigation. Additionally, if you believe you were the victim of identity theft, we encourage you to go to the Federal Trade Commission (FTC) identity theft website, identitytheft.gov to report and protect yourself from further victimization. You are also advised to monitor your credit report for any other fraudulent activity that may come as a result of identity theft. Thank you for assisting in our efforts to combat fraud, waste, and abuse. Website Policies, Disclaimers and Privacy DES Non-Discrimination Policy Reasonable Accommodation © Copyright...