Submit Suspected Fraud Below Unique IDFull Name(Required) Last First Middle Phone(Required)Email(Required) City(Required)State(Required)AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificZip(Required) Fraud Details Fraud Type(Required)Investment FraudGold FraudJob FraudGovernment ImpersonationAccount TakeoverOther / UnknownOther / UnknownDate of Initial Fraud Loss MM slash DD slash YYYY Date of Final Fraud Loss MM slash DD slash YYYY Transaction Type(Required)Select Any That Apply Cryptocurrency Transfer Bank Wire ATM Other OtherList other transaction types that were used. i.e Venmo, Zelle, Cash App, etc.Bank Wire InformationClick "Add Entry" for each bank that was that was used. Sending Bank Receiving Bank Dates and Amounts of wire transfers Actions Edit Delete There are no Entries. Add Entry Maximum number of entries reached. Cryptocurrency Transaction InformationClick "Add Entry" for each cryptocurrency platform that was used. Deposit Address (where crypto was sent) Transaction ID numbers Dates and amounts of each transfer Exchange name (e.g., Coinbase, Binance, etc.) Actions Edit Delete There are no Entries. Add Entry Maximum number of entries reached. Platform InformationList All Platforms Where Victim Was ContactedClick "Add Entry" for each platform Exchanges / Apps / Websites Platform where victim was first contacted Account Name Actions Edit Delete There are no Entries. Add Entry Maximum number of entries reached. Event DescriptionDescription of events including date(s):List all details of events and a timeline of what occurred. Approximate Fraud Loss (USD)Did you conduct the transactions in the city, state, and zip code entered above?" Yes No If "No": Where did the transactions occur? CityStateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificZipCAPTCHA
