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Confidential Fraud Report

We appreciate you trying to help us and the community by preventing insurance fraud. We will use this information to carefully and sensitively investigate the things you have told us about and will take all practicable steps to maintain strict confidentiality.

If you wish to access or correct any personal information you provide us then please let us know.

You do not need to fill in all sections of this form; however please provide sufficient information to enable us to look into the matter.

Please provide your details:

Make a report

Please enter any information you may know about the person or company you suspect of commiting fraud

Details of the suspected fraud

Please include a summary of the incident, location and details associated with the claim or policy. Please also provide any other information you feel may assist us in identifying the claim or claimant.