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State of California SUSPECTED FRAUDULENT CLAIM (SFC) REFERRAL FORM (FD1) FD1 (Rev. 6/2015)Department of Insurance CDI USE Unsuspected Fraudulent Claim (SFC) Referral Form (FD1)Case #:County Code:SFC
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How to fill out suspected fraudulent claim sfc:

01
Obtain the suspected fraudulent claim form (sfc) from the relevant authority or organization.
02
Carefully read and understand the instructions provided on the form to ensure accurate completion.
03
Fill in all personal details accurately, such as your full name, contact information, and any identification numbers or references required.
04
Clearly state the nature of the suspected fraudulent claim in the designated section of the form, providing any supporting evidence or details you may have.
05
If applicable, include the name or related information of the individual or organization suspected of fraudulent activity.
06
Provide a detailed account of why you believe the claim in question is fraudulent, including any witness statements, documents, or other relevant information.
07
Attach any supporting evidence to the form, ensuring that it is properly labeled and organized.
08
Review the completed suspected fraudulent claim form (sfc) thoroughly to ensure all information is accurate and comprehensive.
09
Submit the form as instructed, following any additional requirements or documentation that may be necessary.

Who needs suspected fraudulent claim sfc?

01
Individuals who have evidence or suspicions of fraudulent claims being made.
02
Organizations or authorities responsible for investigating and addressing suspected fraudulent activities.
03
Insurance companies, government agencies, or other entities that handle claims and have procedures in place to address suspected fraud.
04
Any concerned citizens or individuals who want to report suspected fraud for the benefit of society as a whole.
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