Fraud Committed by a
Department of Social Services Client
appreciate your interest in reporting fraud. To report suspected fraud,
you may either call the Department at 1-800-842-2155 or use the form
below. Use this form to report a client that you believe has fraudulently
received assistance from programs administered by the State of
Connecticut, Department of Social Services. This includes but is not
limited to Temporary Family Assistance, Food Stamps, State Supplement for
the Aged, Blind or Disabled, Medical Assistance and State Administered
Examples of situations that are fraudulent are: unreported income
(either earned or unearned), hidden assets (bank accounts, property etc),
unreported changes in household composition (either someone moved into the
home or moved out), changes in shelter cost etc.
If you want to report fraud committed by a provider or vendor you
should do so by following this link to the
Provider/Vendor Fraud Reporting Form.
If you suspect or have knowledge of client fraud fill in the form
below. You may then either print the form and fax or mail it to
us, or you
may submit the form electronically. Our address, fax and phone numbers
appear at the bottom of this page.
Note: The printed
version of this form is in PDF format.
If you do not have Adobe Acrobat Reader, you can download if FREE
by clicking on this icon.
Your name and phone number is optional but it would be helpful to us in
case we need to contact you for additional or clarifying information.
YOUR PERSONAL INFORMATION: