Department of Legislative Services Maryland General Assembly
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Thomas J. Barnickel III, CPA, Legislative Auditor
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SUBMISSION FORM
   

          Office of Legislative Audits
               Fraud Referral Form


The Office of Legislative Audits maintains this web referral form to facilitate the reporting of allegations of fraud and/or abuse of State resources.
  • Please provide as much detail as possible below concerning who, when, where, what, how, and how much is involved with the referral.
     
  • Information provided below will be handled under confidentiality requirements established by State law and/or Office of Legislative Audits' policy. Executive department employees providing information are protected by State law.
     
  • You need not provide your name, although it would be helpful in case we have follow-up questions.
     
  • Please note that all categories marked with a check must be completed.
     
  • The information you submit on this form will be entered via a secure connection.
     
  • If you prefer to speak directly with someone about your concern, you may call our toll free fraud hotline at 1-877-FRAUD-11 (1-877-372-8311).


Referral Information

What State agency or department is involved?
       

Please provide a detailed description of the wrongdoing (including who, when, where, what, how,
    and how much).

       

How did this issue come to your attention?
       

    What employee(s), contractors, etc. were involved with the wrongdoing (please also include
   
employee titles if possible)?
      

    If you are aware of any witnesses to the wrongdoing, please provide their names.
      

    How did you become aware of Office of Legislative Audits Fraud Hotline?
      
  

Your Information (optional)

First Name
Last Name
Street Address
City
State
Zip Code
Home Phone
Work Phone
Home E-mail
Work E-mail
Category State Employee
Vendor
Taxpayer

May we contact you to obtain additional details, documentation, or clarification?    Yes    No

If so, how would you prefer to be contacted (check all that apply)?                   
Home Phone Work Phone Regular Mail
Home E-mail Work E-mail Cell Phone


Additional Information

Please provide any additional details or comments that would help us to understand your concern.
  

           

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SUBMSSION FORM

STATE FRAUD HOTLINE LIST
FRAUD HOTLINE REPORTS
 
   

 

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