Unemployment Insurance Individual (Employee/Ex-employee) Fraud Reporting Form
The Louisiana Workforce Commission
aggressively investigates all fraud
tips and complaints submitted to our
office. To report someone you suspect
may be committing Unemployment Insurance
fraud, complete the information
below and press the Submit
button. You may choose to submit this information
anonymously; however, doing so may limit
our ability to effectively investigate
the situation.
(
* ) Entry Required
*
Name of the person you are reporting:
If known, the person's address, city, state, and telephone number:
Character Count: (Max 200, remaining 200. )
If known, the person's social security number, date of birth, race, and gender:
Character Count: (Max 200, remaining 200. )
Why do you believe this person is committing fraud? Please provide details regarding the reason(s). For example, working and drawing unemployment insurance, unable to work [medical reasons, incarcerated-name of facility, etc.], not looking for work, or has turned down job offers:
Character Count: (Max 200, remaining 200. )
If you are reporting someone because they are working, for whom is this person working? Please provide company name, address, phone number, contact information, etc..., if known.
Character Count: (Max 200, remaining 200. )
We may have other questions. If we may contact you, please provide your name,
address, telephone number, email address, etc.
Character Count: (Max 200, remaining 200. )
Please provide any additional information you feel is important.
Character Count: (Max 200, remaining 200. )
If you have any other questions, please contact the Claims Center at 1-800-201-3362.