Texas State SealTexas Department of Insurance
  www.tdi.state.tx.us - Consumer Helpline 1-800-252-3439




Home · Site Index · Site Search · FAQ Search · Previous Page

Agent · Business · Consumer · Doctor · Industry · Fraud · Online · Update · StateFireMarshal
About TDI · Compact with Texans · TDI News · TDInsight

Popular Links ¤ Print Friendly Version ¤ Make Page Text Smaller ¤ Make Page Text Larger ¤ Display Plain Text ¤ 

 HOME  ¤   email us  ¤  glossary  ¤  help  ¤  sitemap  ¤ TDInsight

TDI Forms

This is one of several pages linking to a central repository of forms used by TDI customers. Use the search or Forms by Type links on the Forms Home Page or scan through our form listings.

Fraud Unit Online Forms
TDI Form Number Description File Format
FR028 Report Suspected Insurance Fraud Online (SIU)
Online insurance fraud reporting for insurance companies, SIUs and TPAs 		HTML
FR029 Consumers Report Suspected Insurance Fraud Online
Online insurance fraud reporting for consumers. 		HTML

 

You may download and print a Fraud Report form in Word and email the completed form as an attachment to: FraudReport@tdi.state.tx.us .
Please remember - Information sent by e-mail is not encrypted. If you prefer, you may send the report form by regular mail to:
Texas Department of Insurance
Fraud Unit
P O Box 149336
Mail Code 109-3A
Austin, TX 78714-9336
Fraud Unit Download and Print Versions
TDI Form Number Description File Format
FR028 Suspected Insurance Fraud Report (SIU) Form
 PDF
FR028 Suspected Insurance Fraud Report (SIU) Form
 WORD
FR029 Suspected Insurance Fraud Reporting form for Consumers
 WORD
FR029 Suspected Insurance Fraud Reporting form for Consumers
 PDF
FR030 Report Suspected Fraud at TDI
 PDF
FR030 Report Suspected Fraud at TDI
 WORD

  

Previous Page | Next Forms Page



For more information contact: FraudUnit@tdi.state.tx.us



Select Topic & Link