How to Report Fraud
Reporting worker's compensation fraud is easy. Call (608) 261-8486, write or e-mail the Division.; A pre-taped message will ask you to leave the following information:
1. The name of person committing fraud;
2. The person's address (at least the municipality);
3. A description of the alleged fraudulent activity in as much detail as you can provide; and
4. The employer at the time of the injury (if you know who it is).
You may also provide the same information by writing to:
State of Wisconsin
Worker's Compensation Division
P.O. Box 7901
Madison, WI 53707
Callers can remain anonymous. However, you will be asked to leave your name and phone number if you are willing to speak further with an insurance company investigator about the information you have.
If you do leave your name, the Department will not use it in its public reports. However, you should assume that at some point your name could become part of a legal record which -- even though it is not open to the general public -- might be available to the injured worker, the employers and the insurance carriers who are parties to the alleged worker's compensation injury.
Generally, the Department will refer the matter to an insurance carrier for investigation. The carrier will be required to report back to the Department the results of its investigation. However, by law (See section 102.125 of the Wisconsin Statutes), an insurer is not required to report back until it is satisfied that making the results of investigation known to the Department will not hurt their ability to handle the worker's compensation claim.
Based on the results of the insurer's investigation, the Department will make a decision about whether there is a reasonable basis to believe fraud has occurred. If so, the Department will refer the case to the local district attorney for prosecution. The district attorney must then decide whether to start criminal proceedings under the insurance fraud statute. (See section 943.395 of the Wisconsin Statutes.)