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Fraud: Fraud Claims and Forms

Suspected Fraudulent Claims (SFCs)
The Fraud Division has established a method for insurers to report suspected insurance fraud. It is important to know that notification of insurance fraud may be made anonymously. You may contact any of the Fraud Division Regional Offices directly responsible for your county. Other types of complaints may be directed to the Department's Consumer Services Division. For further information about the Fraud Division and its programs, go to the Fraud Division's home page.

The Insurance Code states that no insurer, or the employees or agents of any insurer, shall be subject to civil liability for libel, slander or any other relevant cause of action by virtue of providing information concerning a Suspected Fraudulent Claim (SFC) to law enforcement, including the California Department of Insurance, Fraud Division.

Suspected Fraudulent Claim Form (electronic eFD-1)
Registration to Submit Electronic eFD-1s on a Continual Basis (i.e. Insurers, TPAs, Self-Insureds)

Suspected Fraudulent Claim Form (electronic eFD-1)


Printable Suspected Fraudulent Claim (SFC) Referral Form (FD-1)

Instructions -
Reporting Suspected Fraudulent  Insurance Claims (Revised:  January 2008)

FD-1 Referral Form - (Revised:  January 2008)

Completed FD-1 forms and any attachments are to be mailed to the following address:

California Department of Insurance
Enforcement Branch Headquarters
Intake Unit
9342 Tech Center Drive, Ste. 100
Sacramento, CA  95826


Online Insurance Reporting Form of Suspected Insurance Fraud to be used by the general public  New May 2011

The California Department of Insurance has developed a method for members of the general public to report cases of suspected insurance fraud.  As noted in California Insurance Code section 1879.5, no person shall be subject to civil liability for filing a good faith report of suspected insurance fraud to the Department of Insurance.  This form may be accessed by clicking the link below.

Online Insurance Reporting Form to the Department of Insurance

Completed Online Insurance Reporting Forms are to be mailed to the following address:

California Department of Insurance
Enforcement Branch Headquarters Intake Unit
9342 Tech Center Drive, Ste. 100
Sacramento, CA  95826


For further information, please contact the Department of Insurance, Fraud Division at (916) 854-5760.
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