Unemployment Insurance Individual 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 report.

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(*) Entry Required

1. Your name and contact information.
   Please note: Unemployment investigations are confidential.
                        We do not contact every individual who reports fraud,
                        but we do take every report of fraud seriously.
   
   Character Count: (Max 200, remaining 200.)
2. * Name of the individual you are reporting or name listed on the claim you are reporting:
   
3. If known, the individual's address and telephone number or contact information used on the claim you are reporting:
   
   Character Count: (Max 200, remaining 200.)
4. If known, the last 4 digits of the individual's Social Security number or the Social Security number used on the claim you are reporting:
   
5. If known, the individual’s date of birth, race, and gender or the demographic information used on the claim you are reporting:
   
   Character Count: (Max 200, remaining 200.)
6. * Why do you believe this individual is committing fraud? Please provide details
      regarding the reason(s).
       Examples include, but are not limited to, the following:
       •  The individual is working for 'Employer Name' and drawing
           unemployment insurance (please include employer contact
            information, if known);
       •  The individual has been incarcerated at 'Facility Name' since 'mm/dd/yyyy';
       •  My address or other personal information was used on this claim
            (please provide the address or other personal information used);
   
   Character Count: (Max 200, remaining 200.)
7. Please provide any additional information you feel is important:
   
   Character Count: (Max 400, remaining 400.)