Menu
Contact Us Search
CA Department of Insurance

Fraud Claims and Forms

Suspected Fraudulent Claims (SFCs)

The Fraud Division has established a method for insurers to report suspected insurance fraud. It is important to know that notification of insurance fraud may be made anonymously. You may contact any of the Fraud Division Regional Offices directly responsible for your county. Other types of complaints may be directed to the Department's Consumer Services Division. For further information about the Fraud Division and its programs, visit the Fraud Division's home page.

The Insurance Code states that no insurer, or the employees or agents of any insurer, shall be subject to civil liability for libel, slander or any other relevant cause of action by virtue of providing information concerning a Suspected Fraudulent Claim (SFC) to law enforcement, including the California Department of Insurance, Fraud Division.

There have been some minor upgrades to our intake process that will allow us to email the initial status letters to a referring Special Investigative Unit (SIU). The Fraud Division receives on average 27,000 referrals each year across all fraud programs. Until recently, the process required the Fraud Division to print and mail the initial status letters to the referring SIU. The  letter will now be sent to the email address that is provided on the FD-1 or eFD1. If no email address is provided, the letter will be mailed.



Suspected Fraudulent Claim Form (electronic eFD-1)

Registration to Submit Electronic eFD-1s on a Continual Basis (i.e. Insurers, TPAs, Self-Insureds)

Suspected Fraudulent Claim Form (electronic eFD-1)


Printable Suspected Fraudulent Claim (SFC) Referral Form (FD-1)


Instructions -Reporting Suspected Fraudulent  Insurance Claims (Revised:  January 2008)

FD-1 Referral Form - (Revised:  January 2008)

Completed FD-1 forms and any attachments are to be mailed to the following address:

California Department of Insurance
Enforcement Branch Headquarters
Fraud Division Intake Unit
9342 Tech Center Drive, Suite 100
Sacramento, CA  95826


Consumer Insurance Fraud Reporting Form


The California Department of Insurance has developed a method for members of the general public to report cases of suspected insurance fraud.  As noted in California Insurance Code section 1879.5, no person shall be subject to civil liability for filing a good faith report of suspected insurance fraud to the Department of Insurance.  This form may be accessed by clicking the link below.

Consumer Insurance Fraud Reporting Form

Completed Consumer Insurance Fraud Reporting Forms are to be mailed to the following address:

California Department of Insurance
Enforcement Branch Headquarters
Fraud Division Intake Unit
9342 Tech Center Drive, Suite 100
Sacramento, CA  95826



For further information, please contact the Department of Insurance, Fraud Division at (916) 854-5760.
Font Size: Translate: Español