Workers' Compensation Fraud Intake
This form is solely for collecting complaints regarding workers' compensation fraud. If you need to report unemployment fraud, please visit cdle.colorado.gov/fraud-prevention.

Please complete this form as accurately as possible. You may not be able to answer every question, but please provide as much information as you can. 
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Today's date *
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Your name
Your address  (include city, state, and ZIP code)
Your phone number
Your email address
Your relationship to the person/business that you are reporting *
Would you like to remain anonymous? *
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