Report Suspected Fraud

The State Fire Marshals Office invites anyone with information regarding Insurance Fraud to submit information about the crime through this website online tip form.  The information will be relayed directly to the Insurance Fraud Bureau.  The information you provide will be maintained in the strictest of confidence.

NOTE! This form is intended to be utilized by individuals reporting insurance fraud. 

Fraud Tip Line: 1-800-654-0775

	*  Required
*  COUNTY where the crime occurred:	Select County
*  CITY where the crime occurred:
* ADDRESS where the crime occurred:
ZIP CODE where the crime occurred:
*  DATE the crime occurred (As Known):	(MM/DD/YYYY)
Reporting Individual Information (Victim or Witness)
	I wish to remain Anonymous
	CitizenLaw EnforcementFire Service
Last Name:
First Name:
Middle Name:
Business Name:
Contact Telephone:
Contact Fax:
Email Address:
Mailing Address:
City:
State:	AL
Zip Code:
Primary Suspect - Person Believed to Have Committed Crime
Business Name:
* Last Name:
* First Name:
Middle Name:
Social Security Number:
Date of Birth:	(MM/DD/YYYY)
Race:	American Indian Arabic Black East European East Indian Hispanic White Other
Sex:	Female Male
Vehicle License Plate Number:
Vehicle License Plate State	AL
Vehicle Identification Number:
Driver's License Number:
Fictitious Names, Alias, Married or Maiden:
Distinguishing marks, scars, tattoos, etc.:
Place of Employment, School, or General Hangout:
Telephone:
Fax:
E-Mail Address:
Physical Address:
* City:
* State:	AL
Zip Code:
Second Suspect - Person Believed to Have Committed Crime
Business Name:
Last Name:
First Name:
Middle Name:
Social Security Number:
Date of Birth:	(MM/DD/YYYY)
Race:	American Indian Arabic Black East European East Indian Hispanic White Other
Sex:	Female Male
Vehicle License Plate Number:
Vehicle License Plate State:	AL
Vehicle Identification Number:
Driver's License Number:
Fictitious Names, Alias, Married or Maiden:
Distinguishing marks, scars, tattoos, etc.:
Place of Employment, School, or General Hangout:
Telephone:
Fax:
E-Mail Address:
Physical Address:
City:
State:	AL
Zip Code:
Additional Information
Is there additional information not already entered?	YesNo
* Summary as to why this is fraud:
Are you willing to submit additional information if it becomes available to you?	YesNo
Is this information additional to a tip previously submitted?	YesNo
If Yes, please enter Prior Tip Number:
	For additional security, please check the checkbox below (and complete any puzzle prompts you may receive).