This form is to report reemployment assistance fraud only. You may also report fraud through the reemployment assistance fraud hotline 1-800-342-9909.

Please provide the following information.

(Last four digits of claimant's Social Security number)
(Name of business where claimant works)
(Business number where claminant works)
(Job site address)
An equal opportunity employer/program.  Auxiliary aids and services are available upon request to individuals with disabilities.
All voice telephone numbers on this website may be reached by persons using TTY/TDD equipment via the Florida Relay Service at 711.
You have selected a link to a website that is outside of the floridajobs.org domain. Control of the content of this website belongs to the website's owner and not to the Department of Economic Opportunity.
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