Loading
Get Www.dhs.state.pa.us
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
How to fill out the Www.dhs.state.pa.us online
This guide provides clear and supportive instructions on completing the form available at Www.dhs.state.pa.us. Follow the steps outlined here to ensure a smooth filing process for reporting fraud in public assistance programs.
Follow the steps to complete the form effectively.
- Click ‘Get Form’ button to access the form and open it in your preferred editor.
- Begin by entering your contact information. This usually includes your name, address, and phone number. Providing accurate details is essential for follow-up purposes.
- Next, specify the type of fraud you are reporting. You may choose between recipient fraud and provider fraud. Be clear in your selection to direct your report appropriately.
- In the description field, clearly outline the details of the suspected fraud. Include all relevant information, such as dates, names, and any evidence you may have. The more detailed your account, the easier it will be for authorities to investigate.
- Once you have filled out all the necessary sections, double-check the information you have provided for accuracy and completeness.
- Finally, save your changes. You may have the option to download, print, or share the form as needed. Ensure that you keep a copy for your records.
Take action by completing the report online to help maintain the integrity of public assistance programs.
Online: Visit the COMPASS website. Phone: Call the Consumer Service Center for Health Care Coverage at 1-866-550-4355. Mail/Fax/In Person: Download an application and submit it to your local county assistance office (CAO) by mail or fax, or drop it off in person.
Industry-leading security and compliance
US Legal Forms protects your data by complying with industry-specific security standards.
-
In businnes since 199725+ years providing professional legal documents.
-
Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
-
Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.