CHRF - Report Fraud by a Benefit Recipient

Report Fraud by a Benefit Recipient

Important Notice

We can help with SNAP, SEBT, TANF, ERDC and Medicaid issues only. Please do not fill out the form for EBT Theft or other complaints, other than those listed, as we can't assist with those.

Thanks for understanding!

Once the report is sent, the coordinator has no further information about this investigation. Confidentiality law may prevent the department from sharing any further information unless specifically required.

Report Fraud

Date of Report

Select the program(s) involved in this referral (Required)

Contact your local office to report EBT Theft

SNAP (Food Benefits)

SEBT (Summer Food Benefits)

TANF (Cash Assistance)

TA-DVS (Domestic Violence Grant)

ERDC (Employment Related Day Care)

Medicaid (OHP)

Description of what happened (Required)

Please provide as much detail as possible. Maximum 300 words.

Word count: 0

The Person You Are Reporting

First Name (Required)

Middle Name

Last Name (Required)

Suffix

Address 1

Address 2

City

State

Zip Code

Date Of Birth

MM/DD/YYYY

Additional Household Member

Please use this area to provide full name of spouse, partner, absent parent...etc.

First Name

Middle Name

Last Name

Suffix

Relationship

Employer Information for the Person You are Reporting

Employer Name

Your Contact Information (Optional)

This information is optional, however if you start entering this data then the first name and last name will be required!

First Name

Middle Name

Last Name

Suffix

Phone Number

Enter 10 numbers

Email Address

Remain Anonymous

If box is checked, we will contact you only if we need more information. Your name will not be disclosed unless required by law. OAR 461-105-0060

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