Provide Detailed Information About Your Scammers

We’re committed to helping you recover. Please provide all the details you have about the scammers involved in your case.

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Your Name *

First

Last

Your Email *

Have you already filled out and submitted this form? *

• Yes
• No

If you have already submitted this form, there’s no need to fill it out again

Scammer 1 Name *

First

Last

Enter the first scammer’s name or alias

Scammer 2 Name

First

Last

Scammer 3 Name

First

Last

Date of First Contact with Scammer 1

When did the first scammer first contact you ?

Date of First Contact with Scammer 2

already Scammer this

Date of First Contact with Scammer 3

Scammer 1 Email

Scammer 2 Email

Scammer 3 Email

Scammer 1 Phone Number

Enter the phone numbers used by the first scammer

Scammer 2 Phone Number

Scammer 3 Phone Number

Scammer 1 Social Media Profiles

List any social media profiles used by the first scammer

Scammer 2 Social Media Profiles

Scammer 3 Social Media Profiles

Scammer 1 Country

Select the first scammer’s country of operation

Scammer 2 Country

Scammer 3 Country

Scammer 1 Website

Enter any website or URL associated with the first scammer

Scammer 2 Website

Scammer 3 Website

Amount Lost to Scammer 1 (if any)

Enter the amount of money lost to the first scammer, if applicable

Amount Lost to Scammer 2 (if any)

Amount Lost to Scammer 3 (if any)

Please explain your situation *

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