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Report Suspected Fraud
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Child Care Provider
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Name
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Date of Suspected Fraud
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Who are you reporting?
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What program does this involve?
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School Readiness (SR)
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Description of Suspected Fraud
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Please provide as much detail as possible.
How did you become aware of the suspected fraud?
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Someone told me.
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I confirm that the information provided is accurate to the best of my knowledge .
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