Town of Islip Housing Authority Section 8 or other IHA managed program Fraud Report Form

Today's Date*

Date

Your Name (OPTIONAL)

First NameLast Name

Your Phone Number (OPTIONAL)

Please enter a valid phone number.

Your Email Address (OPTIONAL)

example@example.com

Address Location

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Date when the potential fraud happened*

Date

Description about the potential fraud*

How was the potential fraud discovered?*

Name of the person involved in this potential fraud, if known)?

First NameLast Name

If more than one, please use the fields below, just click the + add button to insert more

Organization/Company Name that is involved in this potential fraud

Do you have any evidence that supports your claim?

YesNo

If yes, please use the upload tool below to share the photos or videos of the potential fraud

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Notice, the Town of Islip Housing Authority treats program integrity with the degree of attention and urgency that is required. Due to the privacy concerns surrounding personal information and the participation within any programs managed by the PHA, any actions taken by the PHA are confidential unless otherwise public. Any FALSE claims made are treated seriously and will be appropriately referred to the proper authority. All information is handled in accordance with appropriate regulatory requirements.

Although the final outcome of a legitimate fraud investigation may not be public knowledge, the HA is committed to maintaining program integrity and compliance.

Town of Islip Housing Authority Section 8 or other IHA managed program Fraud Report Form

Fraud Details