GFC Fraud Alert Form

P O Box 819
Macon, GA 31202-0819
P. 478-751-3500
F. 478-751-3465
An Equal Opportunity
Employer & Service Provider
GFC Fraud Alert Form
Sonny Perdue
Governor
Report all Federal Stimulus (ARRA) Fraud, Waste and Abuse immediately upon being
made aware of any such situation using the below form and emailing this form
immediately upon completion to [email protected].
Robert D. Farris
Director
Date:
Board of Commissioners:
Memo To: Barbara Dunn – [email protected]
Wesley Langdale, Chairman
Valdosta
Victor Beadles
Moultrie
Jim L. Gillis, Jr.
Soperton
H. G. Thomas New
Louisville
Robert Pollard
Appling
Fred Warnell
Richmond Hill
From:
Subject:
Please be advised that the above office has received a complaint and opened an
inquiry and/or case involving the below listed business/person(s).
1. Business of Interest: Note Corporate/Vendor name, address, and phone
number(s):
H. G. Yeomans
Swainsboro
2. Person(s) of Interest: Note name address, phone number or other identifying
information:
3. Person making allegations: (Name, address, phone number)
4. Allegations: Briefly describe nature of allegations, type of suspected fraud:
5. Location of Activity: Provide location(s) in Georgia where activity(s) is occurring:
Below to be completed by GFC Investigative Team
1.
2.
3.
4.
5.
6.
Report the above allegations within 24 hours of receipt to the OIG office at
www.oig.georgia.gov
Review internally with Stimulus Fraud reporting team (a person to be assigned from HR,
Administration and Investigation Divisions of the Agency).
Internal team makes report of recommended corrective action and reports to the Director,
Program Director, and Grant Manager responsible for the grant upon which the above
allegations are made.
Recommendations are implemented.
GFC Investigative team makes follow up visit to confirm corrective actions have been
properly implemented as directed and files report with OIG.
Investigative team addresses any additional concerns of OIG office in regard to the above
allegation.