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Nassau County On Line Fraud Report Form
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Alt Phone Number
A. Type of Fraud
HEAP - Home Energy Assistance Program
B. Recipient of Benefits
DOB or Age
Provider of Services
Provider's ID Number
Location of Fraudulent Activity (if different from provider's address)
Insurance Claim Number
3. Description of the suspected fraudulant activity or misuse of public funds.
Give a statement that clearly describes the persons involved, dates, locations and nature of the incident or issues that you are reporting. The more specific the information you provide us, the better we will be able to follow-up on your complaint
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