College Enrollment Fraud Report Form
Use this form to report suspected fraud or misconduct related to a college enrollment process. Provide as much accurate detail and evidence as you can.
Reporter Information
Full Name
*
First Name
Middle Name
Last Name
Relationship to Enrollment Process
*
Please Select
Student
Applicant
Parent/Guardian
Staff
Alumni
Other
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Preferred Contact Method
*
Please Select
Email
Phone
Other
Institution and Enrollment Details
College or Institution Name
*
Campus or Location
Program or Department
Application or Enrollment Term
*
Please Select
Spring
Summer
Fall
Winter
Quarter 1
Quarter 2
Quarter 3
Quarter 4
Other
Date Issue Was First Noticed
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Current Enrollment Status
Please Select
Application Submitted
Under Review
Admitted
Enrolled
Waitlisted
Withdrawn
Deferred
Completed
Other
Fraud Report Details
Suspected Fraud Category
*
False documents
Identity misrepresentation
Forged academic records
Duplicate applications
Unauthorized admissions changes
Payment-related deception
Staff misconduct
Other
Detailed Description of Incident
*
Names of Involved Individuals or Organizations
Date and Time of Incident
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Is the Issue Ongoing?
*
Yes
No
Unsure
Immediate Risk or Deadline Concerns
Evidence and Follow-Up
Supporting evidence or documents
Upload a File
Drag and drop files here
Choose a file
Cancel
of
What does this file show?
Have you already contacted the institution or another office?
*
Yes
No
Unsure
Date of prior report
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Office or contact person already notified
Preferred follow-up method
*
Please Select
Email
Phone
Text message
Mail
No preference
Additional comments or instructions for the reviewer
Submit Report
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