Email
Email used during registration
Transaction ID or Wallet ID or ADA handle
*
Registered Wallet with Pains NFT
Date and time of incident (accurate as possible)
-
Day
-
Month
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Last known transaction by user ( (accurate as possible)
-
Day
-
Month
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Value of assets lost or stolen (estimation)
Describe what happened in detail
*
Did you post the incident on X (twitter) or Discord?
Yes
No
If yes have you recovered or recieved compensation from other members or projects in the Ecosystem, what is the value in ADA recieved (estimation)
Please Attached supporting Docs ( posts on socials, chats, police reports)
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