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Office of Family Support  -  Fraud & Recovery Section

Fraud Complaint Form
Please complete a complaint if you suspect a recipient is abusing public assistance (Food Stamps, Child Care, or Cash Assistance, etc.), or if you suspect a retailer is purchasing Food Stamp benefits. To ensure that your complaint can be processed and/or investigated thoroughly, please provide as much information as possible.

To report your complaint directly to a Fraud & Recovery representative, you may call the Fraud Hotline at (800) 256-3150.

Note: All fields marked with an asterisk (*) must be filled out for the complaint to be processed.



Who is this complaint against?

* First Name:

* Last Name:

Sex:

Race:

Address:

* City:

* State:

Zip:

Phone (H):

Phone (C):

DOB:

 (mm/dd/yyyy)      OR       How old is the suspect?

SSN:

 (999-99-9999)

Driver's Lic #:

DL State:



Describe in detail how the suspect is committing fraud.
Please include information about
WHEN the fraud was or is being committed. 


  * Complaint:


Additional documents may assist us in further processing your complaint. 
If you have any documents to include in the investigation you may:

Email it to us at:
ofsfraud@dss.state.la.us
OR
Fax it to us at:
(225) 219-1663
OR
Mail it to us at:
Fraud and Recovery Section P.O. Box 91147 Baton Rouge, LA 70821-9147

Please check the box below if you have supporting documents:
Yes, I will send additional documents



You have the right to submit this complaint anonymously.
However, our investigative staff may require additional information,
so any contact information would be valuable.
(optional)


How may we contact you?

First Name:

Last Name:

Phone #:  (999-999-9999)
Email Address:
Mailing Address:
City: State: Zip:



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