MetaMask

You can always press Enter⏎ to continue

MetaMask

MetaMask

Do you believe that you were a victim of a cryptocurrency fraud? Please fill out this form to proceed with a possible investigation into your case.

21Questions

Language

English (UK)

1
Date
Date
Year
Month
Day
2
Source
3
Name* This field is required.Please enter your full name.
First Name
Last Name
4
Email* This field is required.Contact Email Address.
example@example.com
Email Verified
The verification code has been sent to some@email.com
Please check your mailbox and paste the code below to complete verification
••••
Didn't receive verification code? or
Receiving the email may take a few minutes, thank you for your patience!
5
We're now going to ask for the Transaction ID (TxID)

If you don't know how to find it please go to https://metamask.zendesk.com
6
What is the TxID of the first fraudulent transaction* This field is required.Please input the TxID of the first transaction when digital assets were sent from the victim to the criminal.
i.e. 608c1f2dd7e4a33c1fbee730aef20eb2c33c4dff42a49da78b392f26edc0a7ab
7
Would you like to report a second fraudulent transaction?You can report up to 5 fraudulent transactions in total through this form
Yes
No
8
What is the TxID of the second fraudulent transaction
i.e. 608c1f2dd7e4a33c1fbee730aef20eb2c33c4dff42a49da78b392f26edc0a7ab
9
Would you like to report a third fraudulent transaction
Yes
No
10
What is the TxID of the third fraudulent transaction
i.e. 608c1f2dd7e4a33c1fbee730aef20eb2c33c4dff42a49da78b392f26edc0a7ab
11
Would you like to report a fourth fraudulent transaction
Yes
No
12
What is the TxID of the fourth fraudulent transaction
i.e. 608c1f2dd7e4a33c1fbee730aef20eb2c33c4dff42a49da78b392f26edc0a7aNEXTb
13
Would you like to report a fifth fraudulent transaction
Yes
No
14
What is the TxID of the fifth fraudulent transaction
i.e. 608c1f2dd7e4a33c1fbee730aef20eb2c33c4dff42a49da78b392f26edc0a7aNEXTb
15
How much was the total loss in US$* This field is required.How much money did you lose in total?
No Dollar Sign ($) Needed.
16
What type of fraud was it?Please select all that were applicable
Compromised MetaMask Wallet
Extortion / Sextortion
Investment Scam
Phishing / Smishing / Vishing
Ransomware
Social Media Scam
Trojan / Virus
Other
Unknown
17
If you selected "Other" in the previous question, please can you give us more details?
18
Phishing EmailsIf the criminal emailed you, what was the sender's email address? Leave blank if there wasn't one.
example@example.com
19
Associated Phishing WebsiteIf there was a Phishing Website involved, what was that site? Leave blank if there was not one.
i.e. www.example.com
20
Did you report this to law enforcement?* This field is required.Have you reported this to your local police force or law enforcement?
Yes
No
21
Have you already started a recovery process?Have already you contacted a financial investigator, law enforcement or an exchange?
Yes
No
22
IP_logic* This field is required.
23
IP_Country
24
25
Verification and Acceptance* This field is required.By clicking submit below, you consent to allow Asset Reality to store and process the personal information submitted in this form as per their privacy policy. You also give Asset Reality permission to share the above information with their crypto-asset recovery partners (specialist law firms, crypto-asset recovery practitioners and law enforcement) to try and progress your case.
26
Should be Empty:

Question Label

1 of 26See AllGo Back

Save & Continue Later

Your form is saved successfully!

If you want to continue answering your form later, please enter the email address you would like to send the link to:

Please enter a valid email address.

Something went wrong while saving your answers. Please try again.

Email has been sent successfully.

Save your progress

OR

Already have an account? LOGIN

Skip Create an Account

Save your progress

Name

Email Address

Password

I agree to theTerms of ServiceandPrivacy Policy

Your form submission has been saved as a draft.

If you want to continue answering your form later, please enter the email address you would like to send the link to:

Save your progress

OR

Username or email

Password

Forgot Password?

Your form submission has been saved as a draft.

We’ve sent you an email with a link to complete your submission.