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With MEMIC, get comprehensive safety and claims service

Fraud

Report Fraud

Fill out only the top section of this form if you wish to report anonymously. Fill out the bottom section only if you would like to be contacted.

You can also submit an anonymous tip by calling 1-800-ABUSE-WC (1-800-228-7392).


Person You are Reporting


 







What led you to believe fraud was being committed? If this person is working while collecting benefits, include the company name and location. What is fraud?


Your Information

Complete the following if you are willing to be contacted for more information. Be assured your personal information is strictly confidential.

 







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