Name of the company you believe is committing fraud
against the government?
Where is the company located?
Nature of the fraud:
Customs fraud
(Please fill out the customs fraud report - click
here.)
Defense contract fraud
Medicare/Medicaid fraud
Drug Company fraud
Other
Describe the fraud:
Describe how you learned about the fraud:
Do you have documents showing the fraud?
Yes
No
Your contact information:
Name:
Phone:
Email:
The submission of this information to The Cullen Law Firm
does not create an attorney-client relationship or a commitment
that The Cullen Law Firm will represent you in a False Claims
Act case. The Cullen Law Firm will review this information
for the purpose of determining the merits of your allegation.
If we determine that your allegations do have merit and decide
to represent you, we will ask you to sign a formal representation
letter. Any information that you submit for our evaluation
will be treated as confidential. |
