Confidential Fraud Report

All information provided in this form will be treated with confidence.

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.