[Your Name] [Your Address] [City, State, ZIP code] [Email Address] [Phone Number] [Date] [Hawaii State Department/Agency Name] [Address] [City, State, ZIP code] Subject: Report of False Submission of Information Dear [Department/Agency Name], I hope this letter finds you in good health. I am writing to formally report the false submission of information related to [mention the specific documents, forms, or applications that were falsified] by an individual/entity under the purview of your department/agency. I became aware of this false submission through [explain how you discovered the false information, such as investigating, reviewing documents, or receiving an anonymous tip]. Upon conducting further verification, it has been confirmed that the information provided in the aforementioned submission is completely inaccurate and intentionally misleading. The details of the false submission are as follows: 1. Document/Applicant Information: — Name(s) of individual(s)/entity involved: [Provide names if known] — Date of submission: [Mention the date when the false information was submitted] — Relevant document/application reference number: [Include any reference numbers associated with the submission] 2. Nature of False Information: [Briefly describe the false information that was provided and explain its significance in relation to the submission] 3. Supporting Evidence: [List any supporting evidence you have gathered to substantiate your claim. This may include documents, photographs, witness statements, etc.] 4. Potential Consequences: [Specify the potential consequences resulting from the false submission, such as legal penalties, financial loss, reputational damage, or any other relevant implications] Considering the severity of this matter, I urge your department/agency to conduct a thorough investigation into this incident and take appropriate actions to rectify the situation. It is imperative that immediate steps are taken to address this fraudulent behavior and prevent any further misuse of the submitted information. Please keep me informed about the progress of your investigation and the measures taken to address this issue. If any additional information or assistance is required from my end, please do not hesitate to contact me at the provided contact details. I appreciate your prompt attention to this matter as it is vital to maintain the integrity and credibility of the submissions made to your department/agency. I trust that your office will handle this issue with appropriate seriousness and transparency. Thank you for your immediate action in this regard. Sincerely, [Your Name]