Main Form Page

Think someone has received Public Assistance (Food Assistance, Cash Assistance or Medicaid) from the State of Florida and they should not have? Reporting potential fraud online requires four simple steps outlined below. Please provide as much information as you can.

STEP 1:

Enter as much information as you can about the person who applied for Public Assistance. If known, please enter the person's date of birth or estimated age range. Fields marked with * are required.

First Name*

Last Name*

Date of Birth (mm/dd/yyyy)

/ /

Estimated Age

Address

City*

County

State

Zip Code

STEP 2: Enter as much information as you can about the person you are reporting.

* Details (1000 characters max)

STEP 3:

Thank you for reporting this information. If you would like, please provide your contact information below. A representative from our office may contact you if more information is needed.

Your Name

Your Phone Number

- -

Your Email Address

STEP 4:

Click "Send" to submit this information to the Department of Children and Families. Click "Cancel" to return to the previous page. To reset the form and start over, click "Clear".