Fraud Packet Intake Form

  • Fraud Packet Intake Form

    Please complete all applicable sections for the fraud report. Use the form to provide victim details, incident information, suspect/entity details, financial transaction history, bank contact log, and affidavit certification.

  • IMPORTANT INSTRUCTIONS FOR VICTIMS

    Please DO NOT upload or include the following in this online form:

    • Full bank account numbers
    • Full debit or credit card numbers
    • Social Security Number(s) or card images
    • PIN numbers or passwords

    Once a detective is assigned, you need to provide supporting financial documentation through secure methods or in person to the assigned detective.

    Please have the following documents ready for the assigned detective:

    • Bank statements showing fraudulent transactions
    • Credit card statements
    • Fraud affidavits completed with financial institutions
    • Screenshots of fraudulent activity
    • Copies of emails, text messages, or communications with suspects
    • Credit reports showing unauthorized accounts
    • Collection notices or billing statements
    • Transaction receipts or wire transfer records
    • Any correspondence with merchants or financial institutions

    If additional records are needed, the assigned detective will contact you directly.

    SECTION 6: DIGITAL EVIDENCE INSTRUCTIONS

    • Do NOT crop screenshots
    • Include usernames, timestamps, and URLs
    • Save files in original format (PDF, JPG, etc.)
    • Do NOT edit or alter messages

  • Victim / Complainant Information

    All Items with an asterisk (*) must be entered
  • Date of Birth*
     - -
  • Format: (000) 000-0000.
  • Preferred Contact Method*

  • Incident / Fraud Details

  • Type of Fraud*
  • How were you contacted?*
  • Did you send money/items?*
  • If YES, how*

  • Suspect / Entity Information

  • Format: (000) 000-0000.

  • Financial / Transaction Information

  • Bank / Institution Contact Log

  • Date Contacted*
     - -
  • Actions Taken
  • Browse Files
    Drag and drop files here
    Choose a file
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  • Affidavit / Certification

  • I certify that I am the victim of fraud as described in this report. The information provided is true and accurate to the best of my knowledge

  • CREDIT BUREAU & FRAUD REPORTING INFORMATION SHEET

    Place a Fraud Alert or Credit Freeze

    Equifax
    Website: Equifax Fraud Alerts & Credit Freezes
    Phone: 1-888-766-0008

    Experian
    Website: Experian Fraud Center
    Phone: 1-888-397-3742

    TransUnion

    Website: TransUnion Fraud Victim Assistance

    Phone: 1-800-680-7289

     

    FEDERAL FRAUD REPORTING RESOURCES

    Federal Trade Commission> Report Fraud.ftc.gov

    Identity Theft Reporting Website:IdentityTheft.gov  Phone: 1-877-438-4338

    Internet Crime Complaint Center Online Crime Reporting> IC3 Complaint Center

     

    SECURITY RECOMMENDATIONS FOR VICTIMS

    •  Change passwords immediately for affected accounts
    •  Enable multi-factor authentication whenever available
    •  Monitor bank and credit card statements regularly
    •  Review your credit report for unauthorized activity
    •  Consider placing a credit freeze with all three major credit bureaus
    •  Keep copies of all fraud-related correspondence and reports
    •  Do not provide sensitive personal information to unknown callers or emails
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