Official Nebraska Department of Labor | Individual Unemployment Insurance Fraud Report Form

Individual UI Fraud Report Form

The Nebraska Department of Labor aggressively investigates all fraud tips and complaints submitted to our office. To report someone you suspect may be committing Unemployment Insurance fraud, complete the information below and press the Submit button. You may choose to submit this information anonymously; however, doing so may limit our ability to effectively investigate the situation.

Name:

Name of the person you are reporting

Contact information:

If known, the person's address, city, state, and telephone number

Identifying Information:

If known, the person's social security number and date of birth

Evidence/ reasoning:

Why do you believe this person is committing fraud? Please provide details regarding the reason(s). For example, working and drawing unemployment insurance, unable to work [medical reasons, incarcerated-name of facility, etc.], not looking for work, or has turned down job offers:

Employer:

If you are reporting someone because they are working, for whom is this person working? Please provide company name, address, phone number, contact information, etc..., if known.

Additonal information:

Please provide any additional information you feel is important.

(optional) Your contact information

You may submit this form anonymously. However, we may have further questions. If we may contact you, please provide your name, address, telephone number, and email address.

Individual UI Fraud Report Form

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