This successful statewide awareness campaign aimed at discouraging New Jerseyans from leaving their cars unlocked with the key fob inside was re-launched in 2022.  The campaign originated in October 2020, when New Jersey first began to see a rise in thefts of high-end vehicles with key fobs left inside and began tracking the nexus between stolen vehicles and violent crime.

Insurance Fraud Detection Reward Program

Detection Reward Application

All Claims Database Regulation

Application Form must be submitted in accordance with the Administrative Rules governing the Reward Program.

Mailing Address:
New Jersey Department of Law and Public Safety, Division of Criminal Justice, Office of the Insurance Fraud Prosecutor
P.O. Box 094
Trenton, N.J. 08625-0094
Attention: CLASS.

Software Requirements

To view, complete and print fillable forms you will need the freely available Adobe Acrobat Reader software installed onto your computer. However, Acrobat Reader does not allow you to save your completed, or partially completed, forms to a disk or on your computer. The ability to save completed, or partially completed, forms is available commercially with the full version of Adobe Acrobat.

Completing a Fillable Form

Your Web browser may be configured with the Acrobat plug-in to automatically open the file within your browsers window upon download. To download the file directly to your computer or to a disk, right click on the link, then select “save link as” or “save target as” from the dropdown options.

Important Notes

1. Use your mouse to select an area of the form that is not inside a form field or hit the tab key after completing the entry of your last box before printing your form. If a form field is active (e.g. contains the blinking bar) the contents of that block will not print.
2. If the fillable form is displayed within your web browser’s window be sure to use the printer button on the Acrobat toolbar menu to print the form instead of your web browser’s print function.

Claim Fraud Referral Form 1
Application Fraud Referral Form 2
Health Claim Fraud Referral Form 3
Health Application Fraud Referral Form 4