Inca Coalition Onboarding Form
Please provide details about yourself and your case. We are here to help, and the first step is to perform a preliminary evaluation. After reviewing your case diligently, we'll be in touch with next steps.
Full Legal Name
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First Name
Last Name
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
E-mail
*
example@example.com
What's your current occupation?
*
How did you hear about us?
*
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Case Information
Let's collect some information about your case.
Please tell us about your case in general.
*
Please tell us the names of the people you interacted with, and what platforms you communicated on. (eg: Linkedin, Facebook, WhatsApp, Text Message, a Dating App)
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Please tell us how much you lost, and if the transactions were done via bank wire, in crypto, or both.
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Please tell us which banks or crypto platforms you sent money from.
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When was the date of the last transaction or money / crypto sent?
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Month
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Day
Year
Date
Anything else you'd like to share with us?
Please verify that you are human
*
Submit
Should be Empty: