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If you would like to report someone who you think may be committing workers' compensation fraud, complete the information below and press the "Submit" button. You may choose to submit this information anonymously; however, this may limit the scope of the investigation.
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NOTE: This form is for Louisiana only. If you would like to report workers' compensation fraud in a state other than Louisiana, please contact the desired state's workers' compensation office or Web site.
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What type of suspected fraud are your reporting?
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If you are reporting an individual (worker), do you know the person's social security number, race, date of birth, or approximate age?
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Race:
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If you are reporting an individual, when was the person injured, what type of injury does he/she have, and to what part of the body did the injury occur?
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Describe why you think the company or person you are reporting is committing workers' compensation fraud:
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YOU MAY REMAIN ANONYMOUS. However, if you wish to be contacted by this office, please complete any of the following information about yourself.
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Best time to contact you at this number:
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How did you learn about LWCC's fraud reporting program?
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Is there any additional information you would like to submit?
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