Skip to main content

Medicaid Fraud Report Form

Vermont Office of Attorney General
109 State Street
Montpelier, VT 05609-1001


If you suspect someone is being or has been neglected or abused, contact local law enforcement immediately.

This online form requests the necessary information for investigating and potentially prosecuting your allegation. We need as much information as you can provide regarding the "who, what, when, where, and how" of the related incident. Please tell us as much as you know.
Any compliant form or associated documents may become public record when submitted to this office.

Your Information (fields with an asterisk * are required.) We must be able to contact you in case we need more information.

Street & apartment/suite

Provider or Person Committing Fraud or Abuse Information

Provider or Person Committing Fraud or Abuse Information

 

The Medicaid Fraud Unit does not investigate individuals who receive services from Medicaid. For more information, contact the Economic Services Division of the Agency of Human Health.


Street & apartment/suite

Other Information

Street & apartment/suite
Do you have additional documents or information
  • This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.