Report Fraud Form Step 1 of 2 50% HACA's Jurisdiction ONLY! The cities of Oakland and Alameda have their own fraud unit, please contact them in the event fraud is discovered in their cities. For City of Oakland, click HERE. For Alameda City, click HERE: If you suspect someone of defrauding the Housing Authority, please complete as much of this form as you can. Don't worry if you don't know the answers to some of the questions. All the information you provide will be strictly confidential and although you don't have to give us your name and address you can if you wish. Please make sure that you are not being watched while you are filling in this form to keep the information you give as confidential as possible. If you would prefer to report suspected benefit thief by phone, please call Roger Escobar, in the Housing Authority's Program Integrity Department at (510) 727-8533 during normal business hours.Section 1: About the family receiving housing assistance1a. The Last Name of the Head of Household?*1b. Their Gender? Male Female 1c. The First Name of Head of Household?1d. The Family's Address?*Section 2: Who Do You Suspect of Fraud?2a. What type of fraud to you think is being committed?*-- Please select --Not reporting that the tenant’s partner lives in the unitNot reporting everyone living in the unitUnreported incomeUnreported assets (for example, real estate, car, boat, etc.)Not reporting that a child or other family member has left homeCriminal activityRenting out the assisted unit to someone else, or leasing out a roomPaying the landlord extra rent on the sideA subsidized unit owned by the parents or siblings of the tenantNot living at the subsidized unitOther (Please describe below)Provide a brief summary of the fraud that you believe is being committed. Be as brief as possible.Please review answers before going to next page... ...Continued Fraud Form2b. Is someone other than the assisted family involved in the fraud? No YES, If yes, what is the other person's Last Name? Last NameFirst NameGender MALE FEMALE 2c. Their EmploymentTheir employer's name and address (if known)Section 3: About You.The information you've provided is strictly confidential. You don't need to tell us who you are, but if you would like our investigator to be able to contact you for more information, please tell us:Your NameYour AddressYour Phone NumberYour Email Address Section 4: Other Details?Is there anything else we should know?
