DA Workers' Comp Fraud

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DA - Report Workers' Compensation Fraud

You may use the form below to report workers' compensation fraud in Amador, Calaveras and Stanislaus Counties. Please provide as much information as possible. The District Attorney's Office may wish to contact you for additional information. Your contact information is kept confidential. 

 

Fields marked with the * are required.


1
Part I - Suspect Information
Part I - Suspect Information

2
Part II - Summary of Report

3
Part III - Reporting Person Information
Part III - Reporting Person Information
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