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DFML Fraud Reporting Form

If you believe someone has applied for PFML benefits using your personal information, use this secure form to report this to DFML.

You will need to provide: 

  • The type of fraud
  • Your name
  • Your date of birth
  • Your phone number
  • Your mailing Address
  • The last 4 digits of your Social Security number or your Individual Taxpayer Identification Number
  • Your email address (optional)

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Please do not include personal or contact information.
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