The Office of Inspector General, by impartial evaluation, investigation and reporting, seeks to ensure the
integrity of department programs and operations including the fair, accurate and nondiscriminatory
delivery of benefits and services to qualified state residents.


Interstate Match Reporting Form

To assist with processing of this match you may submit copies of closure notices from other states, verification of current residence, or other documentation by email to:

Or by fax to: 304-558-2363

Please reference the web report number you will receive after submitting this form in your email or fax subject line.

If additional information is required you will be contacted directly by a DHHR representative.

Duplicate submissions of this form or emails or repeated phone calls may cause delays in processing.

Online Reporting Form

Note: This form is available for addressing PARIS matches occurring with the State of West Virginia.

Reporter Information

Required Form Field

Case Information
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Additional Information

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Do you have additional documentation?

Any additional documentation should be sent to or faxed to: (304) 558-2363 along with the reference number you will receive after submitting this form.


Christopher Nelson

Deputy Director


Administrative Services Assistant

Carol Abbott


Diana Wright



Contact Information:

State Capitol Complex

Building 6, Room 817

Charleston, West Virginia 25305

Phone: (304) 558-1970

Fax: (304) 558-2363

E-mail IFM