StopFraudFl – form

First name

Last Name

Your email

Mobile Phone Number

Select your County
AlachuaBakerBayBradfordBrevardBrowardCalhounCharlotteCitrusClayCollierColumbiaDeSotoDixieDuvalEscambiaFlaglerFranklinGadsdenGilchristGladesGulfHamiltonHardeeHendryHernandoHighlandsHillsboroughHolmesIndian RiverJacksonJeffersonLafayetteLakeLeeLeonLevyLibertyMadisonManateeMarionMartinMiami-DadeMonroeNassauOkaloosaOkeechobeeOrangeOsceolaPalm BeachPascoPinellasPolkPutnamSanta RosaSarasotaSeminoleSt. JohnsSt. LucieSumterSuwanneeTaylorUnionVolusiaWakullaWaltonWashingtonOut of State

Select Your Age
19 and younger20-2930-3940-4950-5960-6970-7980 and older

Consumer Type
CaregivingSeniorOther

Select your Language
EnglishSpanishCreole

Delivery Preference (select all that apply)
EmailText MessageVoice Message

Are you a Veteran?
YesNo

Do you or a relative have Alzheimer's disease or a related dementia?
YesNo

By clicking Submit, you acknowledge and consent to the collection, storage, and use of your personal information by the Department of Elder Affairs for the purpose of sending information and alerts related to fraud prevention, elder protection, and related public awareness activities. Your information will be used to deliver official communications from the Department of Elder Affairs and its authorized partners.

Any information submitted is subject to the Florida Public Records Law (Chapter 119, Florida Statutes) unless it is confidential or exempt under state or federal law.