IFB Hotline Tip Form


Please enter your comments in the spaces provided below. Thank you in advance for your cooperation.

Name of the person or company you are reporting:
ROY W. LESLIE

Do you know the person or company's address?
SALEM, MASSACHUSETTS

Do you know the person or company's telephone number?
NO

Do you know the person's social security number?
NO

Do you know the person's date of birth or approximate age?
ABOUT 27 OR 28

Do you know the person's employer's name and address?
L.STAT COURIER AND
WRAITH COURIER INC.
1534 ROW AVENUE
BOSTON, MA.

Does the person use any other names or alias' such as a maiden name?
NO

What type of insurance is it?
WORKERS' COMPENSATION

Do you know who the insurance company is?
NO

Do you know what date the incident occurred or the approximate calendar time period?
NO

Why do you feel this may be a fraudulent claim?
ROY IS OUT ON WORKERS' COMPENSATION FOR A BACK INJURY BUT IS WORKING.

Briefly describe the incident.
HE HURT HIS BACK AND IS COLLECTING FROM HIS OLD EMPLOYER L.STAT COURIER. HE HAS BEEN WORKING THE ENTIRE TIME AT WRAITH COURIER INC. WHICH IS LOCATED AT 1534 ROW AVENUE, BOSTON, MA.

You may remain anonymous, but if you wish to leave your name and daytime phone number, please do so.

You may also leave your e-mail address, if you wish to do so.