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Request For Investigation of UI Fraud

Help us do as thorough an investigation as possible - provide as much information as you can. Please use the "Additional Information" box to provide additional details. When you are finished, click the "Submit" button located at the bottom of this page.
Person you are reporting on suspicion of UI fraud, or potential victim of identity theft (may be yourself). Potential victims of identity theft must fill out all information.
The following should be investigated:
Check all of the items below that apply and then fill in as much information as you can.
Additional Information
Your Information
You may remain anonymous even if you provide your name and telephone number. This information will be available to the investigator only and will not be part of the file. It is helpful to the investigation if you can be reached for questions.