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Texas Department of Insurance
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Fraud Unit Forms

Report Fraud Online | Reporte el fraude

You may download and print a Fraud Report form in Word and email the completed form as an attachment to: FraudReport@tdi.texas.gov.

Please remember – Information sent by email is not encrypted. If you prefer, you may send the report form by regular mail to:

Texas Department of Insurance
Mail Code 109-3A
Fraud Unit
PO Box 149336
Austin, TX 78714-9336

If the form is a fillable PDF, learn how to enable all fillable form features.

TDI Form Number Description File Format Language
FR028

Suspected Insurance Fraud Report (SIU) Form

PDF English
FR029

Suspected Insurance Fraud Reporting form for Consumers

PDF English
FR029

Suspected Insurance Fraud Reporting form for Consumers (Spanish)

PDF Spanish

For more information, contact: FraudUnit@tdi.texas.gov