Colorado Department of Labor and Employment Logo with form title, "Report Unemployment Identity Theft"
Report Unemployment Identity Theft
Use this form for all suspected unemployment identity theft. If you have received a Reliacard debit card or other correspondence from the Colorado Department of Labor and Employment (CDLE), but you have not filed an unemployment 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. (The exception would be if you have received a 1099 form in your name, and you either did not file for unemployment benefits, or the amount of benefits received on the 1099 form is inaccurate. If that is the case, please report those 1099 tax form issues here.)

To ensure a successful and thorough investigation, you should provide as much detail as possible about the alleged identity theft when completing this form. Please note that this form is specifically for Colorado state UI claims. If someone has stolen your identity and used it to file an unemployment claim in a different state, you must report it to that state's unemployment division.
Enter your primary contact information here, including a current email address where you can be reached. We may contact you for a follow-up if necessary. Please understand that while it is important to keep your information confidential, we may be required to share your information with law enforcement if a criminal investigation begins.





Notes:
  • If the card or correspondence you received is in your maiden name, select 'My Identity was used to file an unemployment claim'.
  • If you are an employer but the card or correspondence is in your name, select 'My identity was used to file an unemployment claim'.
Colorado Department of Labor and Employment Logo with form title, "Report Unemployment Identity Theft"
My Identity Was Used to File an Unemployment Claim


Your Claim Information
We will need some additional personal information in order to locate any potential claim using your identity.

This may be different from the way your name is usually written. Sometimes, the 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. 



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

Please only put the house number and street name (or PO Box) in this field. You will add the city, state, and zip below.



Colorado Department of Labor and Employment Logo with form title, "Report Unemployment Identity Theft"
I Know of Someone Collecting Unemployment Benefits While Working
Suspected Individual's Information
Please provide information about the person suspected of committing working while collecting unemployment insurance benefits. Complete as many of the following fields as possible. All the information in this section refers to the person suspected.

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


Please only put the house number and street name (or PO Box) in this field. You will add the city, state, and zip below.




Enter the first name of the person suspected.

Enter the last name of the person suspected.

Enter the phone number of the person suspected.

Enter the date of birth of the person suspected.

Enter the social security number of the person suspected.

Please only put the house number and street name (or PO Box) in this field. You will add the city, state, and zip below.



Colorado Department of Labor and Employment Logo with form title, "Report Unemployment Identity Theft"
I Received a ReliaCard (or other correspondence) with Someone Else's Name

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

The 'Claimant ID' is an eight-digit number that usually starts with either a '1' or a '2'. There should be no special characters or punctuation marks. 

Enter the mailing address as it appears on the envelope in which you received the Reliacard or correspondence.
Please do not enter the return address from the envelope (the one in the upper left corner). Enter the mailing address (the one in the middle of the envelope).



Colorado Department of Labor and Employment Logo with form title, "Report Unemployment Identity Theft"