Credit / Debit Card Abuse Self-Reporting Form

Credit / Debit Card Abuse Self-Reporting Form
In order to conduct a thorough investigation of your case, certain information is needed. All of the information required can be obtained by you and it will assist in reducing the lengthy process of a detective obtaining the information. IF YOU DO NOT PROVIDE THE REQUIRED INFORMATION, YOUR CASE WILL NOT BE ASSIGNED FOR INVESTIGATION.
Reportee / Victim Information
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Fraudulent Transaction Information
Date, Time, Amount, Location of Transactions
I have read the statement below and will supply the information. Type yes in the space provided.
If your credit/debit card was used without authorization, a copy of the transaction history/credit card statement AND a Fraud Affidavit MUST be provided at the time this form is submitted. All forms can be emailed to address listed below.

Mail to: Sherman Police Department, 2600 West Travis, Sherman, TX 75092, or

Fax to: 903-892-7188, or

Email to: hollyg@cityofsherman.com; alexm@cityofsherman.com; juliam@cityofsherman.com
Please verify that you are human*
Should be Empty: