Reporting Welfare Fraud

* Please use this NYS OTDA form to report fraud in New York State for only these programs: Public/Cash Assistance, SNAP (Supplemental Nutrition Assistance Program, formerly called Food Stamps) and HEAP (Home Energy Assistance Program). For Medicaid, SSI Disability or SNAP vendor fraud, please refer to the previous Reporting Welfare Fraud page for contact information.

CLIENT INFORMATION

First Name:   Middle Initial: Last Name:

Street Address:   City: State:  NEW YORK Alabama Alaska American Samoa Arizona Arkansas California CANADA Canal Zone Caroline Islands Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Mariana Islands Marshall Islands Maryland Massachusetts Michigan Midway Islands Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming   Zip Code: 5 numbers only

Phone (10 numbers - area code first): Invalid phone number

Gender: MFX

Date of Birth (MM/DD/YYYY): Invalid birthday. Birthday out of range. Social Security No. (9 numbers only): 9 numbers only Invalid Social Security

ALLEGATION INFORMATION

Case Number (if known):

Local District or County where the client is receiving assistance: --- Please Select a District / County --- Albany Allegany Broome Cattaraugus Cayuga Chautauqua Chemung Chenango Clinton Columbia Cortland Delaware Dutchess Erie Essex Franklin Fulton Genesee Greene Hamilton Herkimer Jefferson Lewis Livingston Madison Monroe Montgomery Nassau New York City Niagara Oneida Onondaga Ontario Orange Orleans Oswego Otsego Putnam Rensselaer Rockland Saratoga Schenectady Schoharie Schuyler Seneca St. Lawrence Steuben Suffolk Sullivan Tioga Tompkins Ulster Warren Washington Wayne Westchester Wyoming Yates

Case Type (Please check all that apply): SNAP (Food Stamp) Public Assistance Home Energy Assistance Program (HEAP)

Comment (Required): Comment is a required field! Please enter details regarding the allegation. If allegation involves children or unreported income, include children's names and/or employer's name and address.      2,000 characters limit, characters left.

YOUR CONTACT INFORMATION

Your contact information is optional but it would be helpful to us in case we need any additional clarification.

First Name:   Middle Initial:   Last Name:

Street Address:   Apt No.:   City: State:  NEW YORK Alabama Alaska American Samoa Arizona Arkansas California CANADA Canal Zone Caroline Islands Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Mariana Islands Marshall Islands Maryland Massachusetts Michigan Midway Islands Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming   Zip Code: 5 numbers only

Phone (10 numbers - area code first): Invalid phone number E-mail: Invalid email

Because of confidentiality laws we are NOT able to inform or respond to you as to the outcome or specifics of a case.