(1) Intake Documentation. “”Anti-Fraud Reward Applicants”” are people who write to or call the Division of Investigative and Forensic Services with information related to an alleged crime involving or relating to insurance fraud. Department of Financial Services employees and individuals or entities required to report suspected insurance fraud to the Division of Investigative and Forensic Services pursuant to Florida Statutes § 626.989(6), are not eligible to be Anti-Fraud Reward Applicants.

Terms Used In Florida Regulations 69D-1.002

  • Conviction: A judgement of guilt against a criminal defendant.
  • Fraud: Intentional deception resulting in injury to another.
    (a) An employee of the Division of Investigative and Forensic Services shall be designated by the Director of the Division to be responsible for taking the pertinent information from Anti-Fraud Reward Applicants and documenting that information. The designated employee will allow the Anti-Fraud Reward Applicant to remain anonymous if requested.
    (b) The designated employee will assign a “”Control Number”” to each documentation and will enter the information into a database. The Control Number may be used for automatic retrieval of the information from the database.
    (c) If an Anti-Fraud Reward Applicant wishes to remain anonymous, the designated employee will give the applicant a control number or code and instruct the applicant as to the dates that would be appropriate to call the case supervisor for information on the case status. This procedure will allow the applicant to anonymously monitor the case’s progress up until final disposition.
    (2) Case Evaluation and Tracking.
    (a) A Division of Investigative and Forensic Services field office Lieutenant will review information submitted by applicants and determine if the opening of a criminal case is warranted or if the information would be useful in an existing open criminal investigation.
    (b) Information submitted by applicants will also be evaluated by the Lieutenant for the purpose of determining if the case fits the criteria for Major Case/Complex Case or Organized Crime as described in Fl. Admin. Code R. 69D-1.003
    (c) The Lieutenant will document the results of these evaluations in the case-opening or case-closing documents for use in determining reward value, if any. The Lieutenant will also inform the designated employee of the results of these evaluations for documentation in the Reward Program database.
    (3) Case Disposition. A case that is declined at either the investigative or prosecutorial level will not be considered for a reward. A case that is accepted at both the investigative and prosecutorial levels will be considered for a reward only if it results in a conviction.
Rulemaking Authority 624.308, 626.9892 FS. Law Implemented 119.07, 624.307, 626.989, 626.9892 FS. History-New 6-6-05.