Skip to Main Content
Do Not Show Again
I Want To...
Select a Category
American Rescue Plan Act
American Rescue Plan Act Secure
Assessor Encrypted Forms
Board of County Commissioners
Business & Workforce Center
Business Innovation and Technology
Clerk & Recorder
Clerk to the Board
Diversity, Equity and Inclusivity
Emergency Grants Program
Invasive Species Management
Open Space Citation Payments
Planning & Zoning
Road & Bridge
Test Forms Encryption
Transportation & Engineering
signing in or creating an account
, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.
Welfare Fraud Complaint Form
Sign in to Save Progress
This form has been modified since it was saved. Please review all fields before submitting.
Your First Name
Your Last Name
Your Phone Number
Name of the person you are reporting
First and Last Name
Address of the person you are reporting
Address Line 2
Names and ages of other people living with the person you are reporting.
(significant other, children, other relatives, etc.)
Do you know the age or date of birth of the person you are reporting?
Do you know the Social Security Number of the person you are reporting?
Does the person you are reporting work? If so, do you know where?
Please tell us why you think they are committing Welfare Fraud:
Any additional comments?
Leave This Blank:
Receive an email copy of this form.
This field is not part of the form submission.
* indicates a required field
Slideshow Left Arrow
Slideshow Right Arrow