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Benefit fraud notification form

Benefit Investigation - January 2011
benefit.fraud@kirklees.gov.uk

Use this form to report benefit fraud in Kirklees. If the person you suspect of fraud doesn't live in the Kirklees area then please contact your local council.

Please provide as much information as you can. The more information we receive, the more chance we have of getting a result.

All referrals are anonymous.

The information you provide will be treated in the strictest confidence and will be used only for the prevention or detection of a crime. It is our policy to act on all referrals received and to publicise our results.

Alternatively, report a suspected fraudster, in total confidence, on our hotline 0800 731 1705

About the suspect

Suspect First Name
Suspect Last Name
Suspect Address	Address 1 Address 2 Address 3
Suspect Postcode
Description of the Person Approximate age, height, build, hair colour and length, distingushing features etc.

About the suspected fraud being committed

Nature of allegation:

Please provide detailed information about the allegation

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Description of vehicle driven (if applicable):

Vehicle registration no.:
Colour
Make:	e.g. Ford
Model:	e.g. Escort

Any other information you can tell us?

Please provide us with any additional information for e.g. the partner's name and description, chilidren etc.

About you:

All referrals are anonymous. If you choose to tell us your name and contact details we may contact you to clarify information you have provided. (*Optional)
*Name
*Telephone number (inc STD code)
*Email Address


Thank you for your information.

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