Report FAMLI Fraud or Suspicious Activity: For Individuals

CDLE FAMLI Logo - Colorado Family and Medical Leave Insurance Program (FAMLI) Department of Labor and Employment
Important Information
Use this form for all suspected FAMLI fraud or suspicious activity. If you have received a Reliacard debit card or any correspondence, electronic or otherwise, from the Colorado Department of Labor and Employment (CDLE), but you have not filed a FAMLI claim, please report it to us via this form. Use this same form if you have received any correspondence to your mailing address that was sent to someone else other than those in your household.

To ensure a successful and thorough investigation, you should provide as much detail as possible about the alleged identity theft and/or fraud when completing this form.

Please note that this form is specifically for Colorado FAMLI claims. If someone has stolen your identity and used it to file a FAMLI claim in a different state, you must report it to the state's FAMLI division.
Contact Information
Please insert your contact information so that an ACE Supervisor can reach out to you, if required.


Optional: Include this only if a middle initial appears on the correspondence you received.


Please enter a valid ten-digit phone number without special characters.


If the correspondence you received is in your maiden name, select "My identity, or personal identifying information, was used to file a FAMLI claim."

If you are an employer but the correspondence is in your name, select "My identity, or personal identifying information, was used to file a FAMLI claim."

My Identity Was Used to File A FAMLI Claim

Please complete the following details:

If you received a piece of correspondence addressed to a name different than your own, please enter the name as it appears on the correspondence:

This might be different from the way your name is usually written. Sometimes, the FAMLI claim will be filed with the last name as the first name and the first name as the last name, or it may have been filed using your maiden name. If there is a middle initial, please include that as well.




Please use format MM/DD/YYYY

Please enter the 9 digits - no spaces or dashes

(Optional) If any correspondence you received includes a "Claimant ID", please include that number here. It is an eight-digit number which usually started with a "1" or "2". There should be no special characters or punctuation marks. The Claimant ID is usually found under the date near the top of the form.

Please only put the house number and street name (or PO Box) in this field, including Apt #, Suite, or Floor details. You will have unique fields for City, State, and Zip Code / Postal Code below.


Please add the two alpha characters.

Please add the five or nine-digit number for Zip Code your your Postal Code.

I received suspicious FAMLI correspondence with someone else's name

Please enter the name and address information as they appear on the card or correspondence.

This might be different from the way your name is usually written. Sometimes, the FAMLI claim will be filed with the last name as the first name and the first name as the last name, or it may have been filed using your maiden name. If there is a middle initial, please include that as well.



If you received more than one piece of correspondence to the same address with different names and/or Claimant IDs, please click 'Add Another Name', below.

NOTE: Enter the mailing address in the center of the return envelope.

NOTE: Enter the mailing address in the center of the return envelope.

NOTE: Enter the mailing address in the center of the return envelope.

NOTE: Enter the mailing address in the center of the return envelope.

I know of someone fraudulently claiming or collecting FAMLI benefits

Suspected Individual's Information. Please provide the following details about the person suspected of claiming or collecting FAMLI benefits inappropriately. Complete as many of the following fields as possible. All of the information in this section refers to the person suspected.

Enter First Name of the Colorado state employee fraudulently claiming or collecting FAMLI benefits


Enter First Name of the Colorado state employee fraudulently claiming or collecting FAMLI benefits

Enter the Phone Number of the Employee claiming or collecting FAMLI Benefits inappropriately. Enter the ten-digit phone number with no spaces, dashes, or special formatting.

Enter the email address of the Colorado state employee fraudulently claiming or collecting FAMLI benefits

Enter the house number and Street Name (or P.O. Box) of the Employee claiming or collecting FAMLI Benefits inappropriately. Enter Apt. #, Suite, or Floor details in this field. City, State, and Zip Code will be below.

Enter the City for the Employee claiming or collecting FAMLI benefits inappropriately.

Enter the State for the Employee claiming or collecting FAMLI benefits inappropriately.

Enter the Zip Code / Postal Code for the Employee claiming or collecting FAMLI benefits inappropriately.

Enter the name of the business or place of employment at which the individual is working while claiming or collecting FAMLI benefits inappropriately.

Enter the Employer's Phone Number. Enter the ten-digit phone number with no spaces, dashes, or special formatting.

Enter the Employer's Street Name (or P.O. Box). Enter Apt. #, Suite, or Floor details in this field. City, State, and Zip Code will be below.

Enter the City for the Employer.

Enter the State for the Employer.

Enter the Zip Code / Postal Code for the Employer.

I know of someone fraudulently creating or collecting a fictitious FAMLI claim (i.e. fake identity information, fake employment, fake medical condition, fake Health Care Provider, etc.)

Suspected Individual's Information. Please provide the following details about the person suspected of creating of collecting a fictitious FAMLI claim. Complete as many of the following fields as possible. All of the information in this section refers to the person suspected.

Enter First Name of the individual suspected of creating or collecting a fictitious FAMLI claim


Enter First Name of the individual suspected of creating or collecting a fictitious FAMLI claim

Enter the Phone Number of the individual suspected of creating or collecting a fictitious FAMLI claim. Enter the ten-digit phone number with no spaces, dashes, or special formatting.

Enter the email address of the individual suspected of creating or collecting a fictitious FAMLI claim.

Enter the house number and Street Name (or P.O. Box) of the individual suspected of creating or collecting a fictitious FAMLI claim. Enter Apt. #, Suite, or Floor details in this field. City, State, and Zip Code will be below.

Enter the City for the individual suspected of creating or collecting a fictitious FAMLI claim.

Enter the State for the individual suspected of creating or collecting a fictitious FAMLI claim.

Enter the Zip Code / Postal Code for the individual suspected of creating or collecting a fictitious FAMLI claim.

Enter the name of the business or place of employment related to the individual suspected of creating or collecting a fictitious FAMLI claim.

Enter the Employer's Phone Number. Enter the ten-digit phone number with no spaces, dashes, or special formatting.

Enter the Employer's Street Name (or P.O. Box). Enter Apt. #, Suite, or Floor details in this field. City, State, and Zip Code will be below.

Enter the City for the Employer.

Enter the State for the Employer.

Enter the Zip Code / Postal Code for the Employer.

I received a suspicious text or email message about my FAMLI claim.




Share the phone number from the text.
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