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Did You Know?
Paying your workers' compensation premium is an important and necessary part of keeping your insurance policy current. …
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According to the Oklahoma Department of Health, December through March are historically the months with the highest number of …
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It is an unfortunate aspect of human nature that we sometimes focus on the immediate and discount the possible. Even though …
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Welcome to CompSource's newly designed website. We are committed to providing the best possible customer service …
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Report Fraud
Information About the Person (or Company) Suspected of Fraud
Name of Person
*
Name of Company
Phone Number
Address
City
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State
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Zip
Date of Birth
Race
Sex
Male
Female
Height
Weight
Hair Color
Facial Hair
Scars or Marks
Vehicle Description
Nicknames or Alias'
Is the person working?
Yes
No
If yes, where?
How long?
Hours
Type of work
Why do you suspect fraud is being committed?
*
Person is working while receiving worker's compensation benefits.
Alleged injury did not occur.
Physical activity was recently witnessed that is inconsistent with alleged injury.
Other.
If other, please explain
Do you know of any prior injury?
Yes
No
If yes, where?
When?
Information About You
Name
Phone Number
Address
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
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Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Washington, D.C.
West Virginia
Wisconsin
Wyoming
Zip
Relationship to person/company suspected of fraud
May we use your name?
No
Yes
Are you willing to assist at a later date?
No
Yes
Have you called before?
No
Yes
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