Reporting a Fraud
Anyone wishing to report a fraud should gather all available relevant information and contact the Assistant Director, Fraud Control & Investigation Team.
The referral should contain, as much as possible, the following:
- An overview of the claim including full name of claimant and claim number and any other general information
- Reason for request, including any suspicions held;
Evidence noted or obtained - Action taken to date
- What information or evidence is sought or is suspected may exist
- Whether legal advice has been sought or obtained and, if so, what comments specific to the request have been made
- Time imperatives
- Any additional relevant information
The information, rather than the mode of transmission, is the most crucial factor, and agency staff should be aware that important information can be provided anonymously and will be seriously considered irrespective of its’ source.
Investigations, particularly those with a surveillance component, can be intrusive on an individual's privacy and as a result the FCIT must comply with stringent conditions.
The FCIT will investigate cases where there is sufficient information to reasonably suspect that the claimant is:
- Misrepresenting his/her disability
- Claiming excessive disabilities
- Malingering
- Involved in the commission of a fraud and the investigation and expenditure of Comcare and Commonwealth agency resources is warranted
Page last updated:August 8, 2008