Fraud Referrals
Workers must not forward unprocessed complaints to the DA Investigators. Workers must explore questionable eligibility factors and refer to the DA when they are unable to determine if the allegations are true or false.
The CalWIN referral sub-system is to be used when making General Fraud Referrals to the DA’s Office.
General Fraud referrals to the DA MUST have the following information, if it is available, entered on the [Referral Notes] window:
- CalWIN Case Number, Worker # and the reason for the referral. Refer to Possible Criteria for FRED/General On-Going Fraud Referral for a list of reasons.
- If the referral is due to a community complaint, notify the DA that the SCD 16 will be scanned into the IDM system upon completion.
- Any specific information that supports the allegation such as:
- Employment: Name and address of employer, hours of employment, type of employment.
- Man in home: Hours observed, whether acts as a father, admits to community is husband and/or father, whether woman uses man's name.
- Car Type, license number, color.
Refer to CWES Handbook, “General Fraud Referral,” page 38-10 for the CWES procedures.
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