Office of the Insurance Fraud Prosecutor

Industry Fraud Reporting

Industry Fraud Reporting

Software Requirements

To view, complete and print fillable forms you will need the freely available Adobe Acrobat Reader software installed onto your computer. However, Acrobat Reader does not allow you to save your completed, or partially completed, forms to a disk or on your computer. The ability to save completed, or partially completed, forms is available commercially with the full version of Adobe Acrobat.

Completing a Fillable Form

Your Web browser may be configured with the Acrobat plug-in to automatically open the file within your browsers window upon download. To download the file directly to your computer or to a disk, right click on the link, then select “save link as” or “save target as” from the dropdown options.

Important Notes

  1. Use your mouse to select an area of the form that is not inside a form field or hit the tab key after completing the entry of your last box before printing your form. If a form field is active (e.g. contains the blinking bar) the contents of that block will not print.
  2. If the fillable form is displayed within your web browser’s window be sure to use the printer button on the Acrobat toolbar menu to print the form instead of your web browser’s print function.


Claim Fraud Referral Form 1
Application Fraud Referral Form 2
Health Claim Fraud Referral Form 3
Health Application Fraud Referral Form 4

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