Online Benefit Referral Form - Working for an employer


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:

Working for an employer and claiming benefits

Do they work for an employer?	Yes	No
Who do they work for?
How long have they worked there?	Years	Months
What time do they leave for work?
What time do they get home from work?
Do they have a shift pattern?	Yes	No
If yes, please give details
How do they get to work?
Do they wear a uniform?	Yes	No
If yes, please give details:


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