The Intelligent Insurance Solution

Fraud Reporting Form

The Workers’ Compensation Trust has established a Fraud Hotline to accept information on suspected fraudulent activity. If you suspect someone of committing fraud while collecting workers’ compensation benefits, call the FRAUD HOTLINE toll free at 1-800-559-3739 or complete the information below.

You will NOT have to say your name.  All information will be held in the strictest of confidence.

(* denotes required fields)

Name of person committing fraud *
Employer of person committing fraud
Why you think the person is committing fraud
When you believe the person is committing fraud
Any other information that might help us to investigate this claim
Can we contact you for further information