Grand County Fraud Referral Form

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Grand County Fraud Referral Form
Please use this form to submit a fraud referral to the Grand County Economic Security Assistance Unit. You may elect to remain anonymous if you choose. However, it will help the department conduct a more thorough investigation if they are able to contact you for additional information during the course of the investigation. Thank you.

Referral Information
Please provide as much information you have for the person/people you are reporting. This information will help the office to locate and correctly identify the person/people being referred.

Reason For Referral
Please indicate why you are referring this person/these people for Public Assistance fraud. It is not necessary to provide proof, the agency will conduct an investigation to verify any fraudulent activity. Any information you may have will be helpful to the investigation. Information MUST be provided in at least 1 of the following choices.

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