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:
   

Undeclared Income

What other income do they have that has not been declared?

Maintainance?
Yes
No
Pension?
Yes
No
Rent from a undeclared lodger?
Yes
No
Rent from subletting?

Yes
No

Tax credits?
Yes
No
How long have they been receiving this?
Years

Months

How much do they receive?

How often is this paid?

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