Who are you reporting for benefit fraud?
Surname:

Forenames:

House Number:
Street:

Town:
Postcode:
 

How do you know them:
How do you know they are claiming benefits:
What benefits are being claimed:
 

Non - Residence

 
How long ago did they leave the property?
Years

Months
Do you know where they live now?
Yes
No
Are there any rental/for sale/sold boards outside the property?
Yes
No
Please describe the state of the property:

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