Official Nebraska Department of Labor | Employer Unemployment Insurance Fraud Report Form

The Nebraska Department of Labor aggressively investigates all fraud tips and complaints submitted to our office. To report someone you suspect may be committing Unemployment Insurance Tax fraud, complete the information below and press the Submit button. You may choose to submit this information anonymously; however, doing so may limit our ability to effectively investigate the situation.

Name:

Name of the company or person you are reporting

Contact information:

Address, city, state, and telephone number of the company or person

Name of principals and/or owners:

Worker's primary duties:

Does the business fail to report new employees?:

Yes

Unknown

Business does not report employees to the office of Unemployment Insurance Administration

Does the business fail to accurately report wages?

Yes

Unknown

Business does not accurately report the amount of wages for its employees

Are workers misclassified?

Yes

Unknown

Business misclassifies workers as independent contractors and does not report wages on IRS W-2 forms (sometimes payments to misclassified workers are reported on IRS 1099 forms)

Supporting documents

Do you have documents or other information that support your suspicians? If so, please describe what documents you have.

(optional) Your contact information

You may submit this form anonymously. However, we may have further questions. If we may contact you, please provide your name, address, telephone number, and email address.

Additonal information:

Please provide any additional information you feel is important (additional address/locations, Federal Tax ID #, number of known workers, etc.).

Employer UI Fraud Report Form

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