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SCDOI Insurance Fraud Complaint Form

  1. Did a licensed professional participate?*
  2. If available, please include names, addresses, and telephone numbers of any parties you believe are involved in the false statement / misrepresentation / potential fraud.

  3. If available, please include names, addresses, and telephone numbers of any parties you believe are involved in the false statement / misrepresentation / potential fraud.

  4. If you would rather print and mail this form to our office, with all supporting documentation, please click on this link, or the one below, to download a PDF version of this form.

    Please only submit this once - online using the Submit button OR by mail.


    You can mail a printed copy of this form (and all documentation) to:

    South Carolina Department of Insurance

    Insurance Fraud Division

    P.O. Box 100105

    Columbia, SC 29202

    Or attach it in an email and send it to FraudDivision@doi.sc.gov.

    Download PDF Version

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