Welfare Fraud Complaint (Human Services)

Use this form to file welfare fraud complaints. Submit this only if the client has been issued benefits that you believe they were not entitled to. To ensure your complaint is investigated thoroughly, provide as much information below as possible. When finished, click the Submit Complaint button at the bottom.

A complaint may also be made by calling (970) 498-7635.

Report Complaint Against

First Name *

Last Name *

Also Known As (other names used)

Address

City

State

Zip

Date of Birth

OR Age

Allegation

Describe how the client is committing welfare fraud, or trafficking in Food Stamps. State when the welfare fraud was committed. For example: mm/yyyy - mm/yyyy

Child Information 1

First Name

Last Name

Date of Birth

OR Age

Child Information 2

First Name

Last Name

Date of Birth

OR Age

Employer

If the client or someone else in his or her household is employed, please provide the information below.

First Name

Last Name

Business Name (other names used)

Phone

Address

City

State

Zip

Documents

You may upload and send up to 5 electronic documents, or send hardcopy documents to have included in the investigation.

Add a new file

Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png txt pdf doc docx xls xlsx.

Send hardcopy documents:

Fax: (970) 498-6304
Mail:
Larimer County Department of Human Services
ATTN: Fraud Investigations
1501 Blue Spruce Drive
Fort Collins, CO 80524

Complainant Information - Optional

You can submit this anonymously or if you agree to be contacted, complete the section below

Contact me?

Yes, please contact me

No, do not contact me

First Name

Last Name

Phone

Address

City

State

Zip

Leave this field blank

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Welfare Fraud Complaint

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Welfare Fraud Complaint

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Larimer County, Colorado

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