Report Fraud

If you suspect Medicaid or Welfare fraud (including Link Card, Illinois’ SNAP/Food Stamp program), please complete and submit the form below or call the Medicaid/Welfare Fraud Hotline at 1-844-453-7283/1-844-ILFRAUD.

Contact First Name

Contact Last Name

Contact Sex

Male
Female

Contact Street Address

Contact City

Contact State

Contact Zip

Contact Home Phone

Contact Work Phone

Contact Cell Phone

Contact Email

Contact Preferred Contact Method

Subject First Name

Subject Last Name

Subject Age

Subject Birth Date

Subject Sex

Male
Female

Subject SSN(Last 4)

Subject DHS Case Number

Subject Street Address

Subject City

Subject State

Subject Zip

Employer Name

Employer Address

Employer City

Employer State

Employer Phone

Other Income Type

Other Income Amount

How Often

Household Member Name

Household Member Age

Relationship(i.e. mom, dad, husband)

Death Date

Death County

Death City

Death State

Complaint Detail

Notified OthersHave you notified any other Federal, State, or Local agency of your complaint or filed a lawsuit or grievance related to these matters?

Agency NotifiedIf yes, with which agency did you file a complaint?

Complaint ResolvedHas your complaint been resolved?

Resolution SummaryIf yes, briefly summarize the results

AttachmentsMultiple files can be uploaded by holding down Shift or Ctrl while selecting.

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Illinois Healthcare and Family Services