This form is for reporting suspected Benefit Fraud.

Part 1

Name of suspected offender
Address
What are they doing? (Please provide as much information as possible)

Part 2

Suspected living with undisclosed partner

If you believe that the above named person has an undisclosed person staying in their property, please complete the section below as fully as possible.

Name of partner if known
Approximate age
Please describe the person, including build, hair colour, style of clothing, clean shaven / bearded, smart, scruffy, etc
Do they drive a vehicle? If so, please state make and colour of vehicle and registration mark
On average, how many nights per week does the partner stay at the property?
How long has the partner been staying there (weeks / months)?
Does the partner go to work? If so, please state where they work (if known) and / or the time they leave the property and the time they return
Do they socialise or go out together to pubs, clubs or have holidays together? If so, when and where?

Part 3

Suspected working and claiming benefit

This section concerns people who you suspect to be working and claiming benefit

Where do they work?
How long have they worked there?
What time do they leave to go to work?
What time do they return home?
How do they get to work, i.e. bus, walk, drive, etc
If they drive to work or are picked up, please give details of vehicle: make, model, colour and registration mark

Part 4

If you have any other information that you consider being important, please type it here

Thank you for taking the time to complete this form. All information stated in this form is treated in the stricted confidence. The person of whom you are writing about will not be shown this form or any of its contents. You do not have to give your name or telephone number but sometimes it is helpful if we need to obtain further information. Alternatively, you may telephone the Fraud Section directly on 01473 433999 or 01473 433901 and speak with an Investigations Officer.

I wish to remain anonymous (please tick box)

I may be contacted (please state name and telephone number)

Name
Telephone number

Ipswich Borough Council

Part 1

Part 2

Part 3

Part 4