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DFML Fraud Reporting Form

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

You will need to provide: 

  • The type of fraud
  • Your name
  • Your month and day of birth
  • Your phone number
  • Your email address
  • Your mailing Address
  • Your employer name and FEIN (Federal Employer Identification Number)

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Please do not include personal or contact information.
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