The Qui Tam Team

Tuesday, May 22nd

Last update:06:21:59 PM GMT

Headlines:
You are here: Tax Fraud Report Tax Fraud

Tax Fraud Questionnaire

Name:
Telephone:
Fax:
E-mail:
What is the best time to contact you?:
1. What activity do you believe to be fraudulent?:
2. Who was engaged in the fraud? What are their job titles or positions, and what role did those people play in the fraud?:
3. When did the fraud begin and is it still going on?:
4. Please give applicable years:
5. When and how did you find out that the fraud was occurring?
6. Do you have in your possession, or do you have access to, any documents, papers, computer files or other written proof that this fraud was taking place?: Yes No
7. If so, describe:
8. Is your knowledge of the fraud first hand knowledge, or did you find out from someone else?:
9. Are there other witnesses to this fraud?: Yes No
10. Are there witnesses that could support your allegations and what evidence do they possess?: Yes No
11. Please estimate the dollar amount of the fraud:
12. Are you or have you ever been an employee of the company committing the fraud?: Yes No
13. If so, how long?:
14. If you lost your job, have you filed or are you considering filing a wrongful termination lawsuit? : Yes No
15. Have you discussed your allegations with your employer, a government official, or the media?: Yes No
16. If you discussed your allegations or concerns with your employer, was there any change in your employer's practices after the conversation?: Yes No
17. Was Management aware that there was fraudulent activity taking place?: Yes No
18. Approximately how many employees work for the company and in which states?:
19. Please describe what you believe to be the financial capability of the company to pay a large False Claims Act judgment:
20. Any other comments or facts you would like us to know?:
    



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