Business Tax Fraud Tips & Whistleblower Referral
Referral Information
1. Please provide a detailed description of the allegation to include who, what, when, where, how, and dollar amount(s) involved.
*
2. What is the name and address of the business or businesses involved with the alleged offense?
3. If known, what is the business owner(s) name?
4. If known, what are the names of other individuals involved in or associated with the offense?
5. If you are aware of any witnesses to the offense, please provide their names and contact information if available.
6. How did this matter come to your attention?
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Your Information
Would you like to remain anonymous?
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No
Your name (optional):
Your Contact Information (optional):
May we contact you to obtain additional details, documentation, and/or clarification?
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No
Do you want to be considered for a whistleblower complaint reward*?
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No
*If 'Yes', please remember to be sure to read information on the Whistleblower Reward Program
here
.
Sworn Affidavit
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A sworn affidavit is a written statement, the contents of which are affirmed under the penalties of perjury, to be true to the best of the whistleblower’s knowledge, information, and belief.
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Upload additional documents that support your Sworn Affidavit, such as examples of misconduct in the box below
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Additional Information
Please provide any additional details, comments, or documentation that would help us to understand and investigate the alleged offense.
Under penalty of perjury I affirm these statements to be true
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I agree
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