Fraud Reporting Forms

for Insurance Companies, SIUs and TPAs

Online Form for Reporting Insurance Fraud

Online Reporting of Fraud Tips

Please take a moment to read over these helpful tips before using this form for the first time.

• The online form is divided into the following sections:
  • Information About You
  • Description of the Fraud
  • Fraud Subject(s) Information
  • Report Review and Submission
• Do not use the "Back" button on your browser, instead use the navigation buttons at the bottom of each page.
• Required fields are marked with a red asterisk.
• Use the tab key to move between fields.
• At the time of submission, you may print a copy of the report which will include your submission verification number.
• Online reports of fraud are retrieved by the Texas Department of Insurance Fraud Unit each business day. If you provide your name and address, a written acknowledgement from the Fraud Unit will follow our receipt of the report.
• We work to protect the security of your information during transmission by using Secure Sockets Layer "SSL" software, which encrypts information you input.
• If you have supporting documentation to include with your report, please do not use this form. Follow the instructions in the section below to download and mail a printable form.
• For further information or assistance, please contact: FraudReport@tdi.state.tx.us

Download Versions - You may download and print a Fraud Reporting Form 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

Return to Fraud Unit Home Page

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