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CLEAR FORM FRAUD REFERRAL ADO 2910 N. 44th St. # 210 Phoenix, AZ 85018 6023642140 FAX: 6029128419 Page of Arizona Department of Insurance * See Instructions on Reverse Side SUBMITTED TO INITIATE INVESTIGATION
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How to fill out fraud referral

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How to fill out fraud referral:

01
Identify the fraudulent activity or suspicious behavior that needs to be reported.
02
Gather all relevant information about the incident, such as dates, times, and details of the fraudulent activity.
03
Consult any applicable company or organization policies or procedures regarding fraud referrals.
04
Fill out the fraud referral form provided by your company or organization. This may require providing details about the incident, the individuals involved, and any supporting evidence or documentation.
05
Ensure all information provided is accurate and complete, as any missing or incorrect information may hinder the investigation process.
06
Submit the filled-out fraud referral form to the appropriate department or individual within your company or organization responsible for handling fraud cases.
07
Follow any additional instructions or procedures provided by your company or organization regarding fraud referrals, such as notifying your supervisor or documenting any additional actions you have taken.

Who needs fraud referral?

01
Employees or members of a company or organization who suspect or have evidence of fraudulent activity within the organization.
02
Individuals who come across fraudulent schemes or behavior outside of their own company or organization, including customers, clients, or the general public.
03
Anyone who wishes to report suspicious activity related to fraud to the appropriate authorities, such as law enforcement agencies or regulatory bodies.
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Fraud referral is the process of reporting suspected fraudulent activity to the appropriate authorities or internal departments for investigation.
Any individual or entity who has knowledge or suspicion of fraudulent activity should file a fraud referral.
To fill out a fraud referral, you typically need to provide details of the suspected fraud, including relevant dates, individuals involved, and any supporting documentation.
The purpose of fraud referral is to bring attention to and investigate potential fraudulent activity in order to protect the organization or individuals involved.
The information reported on a fraud referral may include details of the suspected fraudulent activity, individuals involved, supporting documentation, and any other relevant information.
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