The Insurance and Securities Fraud Report forms are available to be printed, downloaded, or submitted on-line. The Fraud Bureau will strive to maintain the confidentiality of this report within the Department of Insurance and Securities Regulation web page boundaries of law; however, the information given herein may become public record at some time in the future because of court or other legal requirements.

To report insurance or securities fraud on-line, follow these directions:

• Complete the Insurance Fraud Report form or Securities Fraud Report form.
  
• Select View Form to check the information for accuracy.
  
• Select Print from the View Form preview window.
  
• Select Submit to email the form to the Fraud Bureau.