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Get the free Fraud Referral Form - Maryland Insurance Administration - mdinsurance state md

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MARYLAND INSURANCE ADMINISTRATION 200 ST. PAUL PLACE, SUITE 2700 BALTIMORE, MD 21202 410-468- 3905 OR 1-800-846-4069 FAX 410-347-5350 PLEASE TYPE OR PRINT INFORMATION (COMPLETE ALL APPLICABLE SECTIONS)
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The fraud referral form is a document used to report suspected fraudulent activities to the appropriate authority.
Any individual or organization that suspects fraudulent activities can file a fraud referral form.
To fill out the fraud referral form, you need to provide detailed information about the suspected fraudulent activities, including any evidence or supporting documentation.
The purpose of the fraud referral form is to notify the relevant authority about potential fraudulent activities for further investigation and action.
The fraud referral form typically requires information such as the nature of the suspected fraud, the individuals or organizations involved, and any supporting evidence.
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