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UIA 2-Minute Fraud Reporting Form


UIA 2-Minute Fraud Reporting Form

Your information is important to us. All allegations of unemployment insurance (UI) fraud are taken seriously. Please take a minute to report suspected fraud involving Michigan's UI system. You may remain anonymous if your prefer.

Please include as much of the following information as possible:


 

1) Please provide the name and address (if known) and employer of the person you suspect of fraud:

Name:                      

Address:                  

Employer:                

Employer Address: 

Type of fraud in general?

                         

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2) Please describe below what the accused is doing, or has done, that you believe constitutes fraud:

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3) When did the fraud occur?

When:              

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4) Is the potential fraud still occurring?

Yes
No

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Your Contact Information:

Optional


Name:            

Date:              

Phone:           

E-mail:           

           Do you wish to remain anonymous?

Yes
No

Please hit the Send button only once. If your browser does not support this form, you may report your information by calling our toll-free fraud hotline at
1-800-822-1122.


Privacy:

Information obtained from any employing unit or individual pursuant to the administration of the MES act, and determinations as to the benefit rights of any individual shall be held confidential and shall not be disclosed or open to public inspection.

For these reasons we will be unable to update you as to the outcome or progress of any referral received by this office.

Thanks for your assistance!

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