UC – Fraud Reporting System
Fraud Forms
Benefits Fraud Form
Tax Fraud Form
Identity Theft Form
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Tax Fraud Form
“Attention” This site has been disabled. Please submit all Tax fraud reports on the following website
https://benefits.uc.pa.gov
Please use this form to report employers committing fraud against the Pennsylvania Unemployment Compensation program.
Contact Information
Please provide your contact information.
First Name
Last Name
Phone
Email
Would you prefer to remain anonymous?
Yes
No
Note: This information will remain confidential. You will only be contacted if additional information is needed.
Employer Information
Please supply as much of the following information as you can.
Employer Name
Employer Account Number
Address1
Address2
City
State
Alaska
Alabama
Arkansas
Arizona
California
Colorado
Connecticut
Washington DC
Delaware
Florida
Georgia
Hawaii
Iowa
Idaho
Illinois
Indiana
Kansas
Kentucky
Louisiana
Massachusetts
Maryland
Maine
Michigan
Minnesota
Missouri
Mississippi
Montana
North Carolina
North Dakota
Nebraska
New Hampshire
New Jersey
New Mexico
Nevada
New York
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Virginia
Vermont
Washington
Wisconsin
West Virginia
Wyoming
--- OTHER ---
ZIP
Phone
Explain in detail what the employer is doing to circumvent the unemployment system.
How many employees are affected?
Unknown
1
2
3
4+
Affected employee(s) name(s)
First Name
Middle Initial
Last Name
SSN
Phone
First Name
Middle Initial
Last Name
SSN
Phone
First Name
Middle Initial
Last Name
SSN
Phone
First Name
Middle Initial
Last Name
SSN
Phone
Please enter worksite address, if different than Employer's address.
Worksite Address1
Address2
City
State
Alaska
Alabama
Arkansas
Arizona
California
Colorado
Connecticut
Washington DC
Delaware
Florida
Georgia
Hawaii
Iowa
Idaho
Illinois
Indiana
Kansas
Kentucky
Louisiana
Massachusetts
Maryland
Maine
Michigan
Minnesota
Missouri
Mississippi
Montana
North Carolina
North Dakota
Nebraska
New Hampshire
New Jersey
New Mexico
Nevada
New York
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Virginia
Vermont
Washington
Wisconsin
West Virginia
Wyoming
--- OTHER ---
ZIP
Phone
Type of Work
Method of Payment
Cash
Check
Barter
Unknown
We will review the necessary files and records in light of the information you have provided to determine the most appropriate action. If you provided contact information, you will be contacted again only if it is necessary to complete our investigation.
Due to strict confidentiality laws, the Department of Labor and Industry cannot confirm or deny an investigation initiated by the submission of this form nor can updates or outcomes be disclosed.
Thank you for assisting us in our efforts to fight fraud, waste and abuse.