Sunday, Feb 05th

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Tell Us Your Story

The Qui Tam Team is here to listen to your first-hand knowledge of fraud against our government. If you'd like to speak to one of our attorneys, please fill out the form below.

Please be aware that this form is submitted to us in an encrypted email. As it is with any encrypted email, total security cannot be guaranteed, which is why we do not ask you for specific details. If you'd feel more comfortable via telephone, please call us at 1 (800) 590-4116 to discuss your case.

Name:
Email:
Phone:
Preferred Method of Contact:
Job Title :
Please identify the person or company who committed the fraud:
In which state(s) did this fraud occur?
When did the fraud occur?
Do you have any documents or email to support this claim? Yes No
Have you ever filed a case related to the information you've provided? Yes No
Any additional information you'd like us to know: