Fraud Referral Form

You can use this form to report benefit fraud. Please provide as much information as possible. You can give us your contact details if you wish, or you can complete the form anonymously.

We will use the information you give us to investigate the problem you have reported. If you have concerns about the security and use of that information please read our Data Protection Statement. (This will open in a new browser window)

For further guidance please refer to the Referral Guidance document. (This will open in a new browser window)

You will be able to print a summary of the information you provide after submitting the form.

Fields marked with * are mandatory.

Details of person suspected of committing fraud

Name *

Address *

Other known address(s)

Gender

MaleFemale

Height

Build

LargeMediumSmall

Hair style/colour/length

Distinguishing features

Vehicle details

If the person owns or drives a vehicle?

Registration

Make

Model

Colour