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Report Fraud

Report to help fight fraud!

Protect your community by reporting fraud, scams, and bad business practices.

First Name

Middle Name

Last Name

Date of Birth

Email

Cell Phone

Alternet Phone

Home Phone

Address

Suite/Apt #

City

State

Zip

Have you been a victim of Identity Theft before?

Yes No

Did you ever disclose your SSN information in the past?

Yes No

Please provide your full Social Security Number (SSN) so we can verify any past identity theft cases related to you.

Driver's License #

Do you drive yourself in case if you have to visit one of our Federal offices?

Yes No

How did you become aware of the identity fraud situation?

What is your usual method of accessing your bank accounts?

Online Banking Offline Banking (Visiting Branch in person)

Do you have someone who handles your banking or financial advisor?

Yes No

Which banks or financial institutions do you have Checking or Savings accounts at? (Please list all institutions, both domestic and international.)

For our records, Please provide the balances of your savings and checking accounts, as reflected in your latest bank statement or an approximate amount.

If you have joint accounts, please list the names of the other account holders.

Are you currently holding investments with any financial institutions? (This includes IRA, 401K, CDs, Money Market, Pension Funds, and other bonds.) If so, please list the names.

For our records, Please Provide the current balance of each investment account, as reflected in your most recent statement or an approximate amount.

What kind of cellphone do you use?

Android Apple No Cellphone

Are you having any disability or medical conditions?

Yes No

Are your aware about Cryptocurrencies or have your ever dealt with Cryptocurrencies?

Yes No

Agree, that we will request some of your personal Information in order to create a complaint form that will be submitted to IC3, FCC and CONSUMER FINANCIAL PROTECTION BUREAU.

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Thanks for filing a report with the Federal Trade Commission . Your case number is registered as FTC#8238711 .
We will have a FTC officer reach out to you shortly.

Report to help fight fraud!

Protect your community by reporting fraud, scams, and bad business practices.

Thanks for filing a report with the Federal Trade Commission . Your case number is registered as FTC#8238711 . We will have a FTC officer reach out to you shortly.

Thanks for filing a report with the Federal Trade Commission . Your case number is registered as FTC#8238711 .
We will have a FTC officer reach out to you shortly.