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Report Fraud

2. Directions
   Please fill out the form below and the information will be sent to the County Auditor's Office for review. Once the form is submitted, the County Auditor or his designee will review your report and decide how best to proceed. While providing contact information is <b>not</b> required, it can be beneficial if the County Auditor requires additional information to perform a review. The County Auditor will protect your identity as required by office policies.

   Please fill out the form below and the information will be sent to the County Auditor's Office for review. Once the form is submitted, the County Auditor or his designee will review your report and decide how best to proceed. While providing contact information is not required, it can be beneficial if the County Auditor requires additional information to perform a review. The County Auditor will protect your identity as required by office policies.

4. County Department / Office Involved:

6. Detailed description of fraud / abuse:

   Please provide as much information as you can, including date, time and location of incident if available.

8. Are you a county employee?

   1. Yes
   2. No

   Optional

9. May we contact you for more information if necessary?

   1. Yes
   2. No

   If yes, please provide contact information below.

11. Name

    Optional

13. Email

    Optional

15. Phone Number

    Optional

Leave This Blank:


17. 1. Receive an email copy of this form.
18. Email address

    This field is not part of the form submission.

19. Submit

* indicates a required field