Reporter Information

Would you like to remain anonymous?(Required)
EEC may contact you for additional information.
Name(Required)
Preferred method of contact(Required)

Who Are You reporting?

Select all that apply(Required)
Address (if known)

Type of Concern

Type of fraud or noncompliance(Required)
Select all that apply

Incident Details

Include: Who was involved? What happened? When did it occur? Where did it occur? How did you become aware of the issue?

Dates and Locations

Date of incident (if known)
Location of incident (if known)

Supporting Information

Do you have supporting documentation?(Required)
Examples: attendance records, billing records, screenshots, emails, photographs, financial records, correspondence. If you need to submit additional files, email them to ReportChildCareFraud@mass.gov
Drop files here or
Accepted file types: pdf, doc, docx, jpg, png, xslx, Max. file size: 20 MB, Max. files: 10.

    Witnesses or Additional sources

    Are there other individuals who may have information regarding this matter that we should contact?(Required)
    Name(Required)

    Prior Reporting

    Have you previously reported this issue to EEC?(Required)
    Date you previously reported the issue

    Certification

    Information submitted through this form will be reviewed by EEC's Program Integrity Unit and may be shared with other EEC divisions, the Massachusetts Office of the Inspector General, the Bureau of Special Investigations, law enforcement agencies, or other authorized entities as permitted by law. Submitting this form does not guarantee that an investigation will be initiated. EEC will review all submissions and determine the appropriate course of action.(Required)
    By submitting this form, I affirm that the information provided is true and accurate to the best of my knowledge. I understand that knowingly providing false information may affect the review of this submission.