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The information I've provided on this form is correct to the best of my knowledge.

I understand that providing false information could make me subject to fine, imprisonment, or both. (Section 1001, Title 18, U.S. Code.)

ICO uses only voluntarily submitted information at this Web site to help victims of Internet-related crime activities. The Internet-Crime Center is co-sponsored by the Federal Bureau of Investigation (FBI). Complaints filed via this web site are processed and may be referred to law enforcement/regulatory agencies for possible investigation. Any investigation opened on complaints filed on this web site is opened at the discretion of the law enforcement/regulatory agency after receiving the complaint information.

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Personal Information:

Buisness Name
First Name*
Last Name*
Date of Birth*  MM/DD/YYYY
Gender
Phone*  5552223333
Email*
Street*
City*
State*
Country*
Zip Code / Route*


Type of Fraud:

Type of Fraud*
Who are you filing the complaint against? Business   Individual
Do you have pertinent documents in paper form? Yes   No


Case Description:



If you wish to provide a tip please access the FBI Tips and Public Leads site at http://www.fbi.gov and clicking on the 'Submit a Tip' link.

P.S. To ensure timely receipt of Internet Crime Report information you may submit your complain to ICO directly - via e-mail (help@internet-crime.org) or FAX (1-877-525-0759). If you experience problems working with the form, please contact the Internet Crime Organisation via fax: 1-866-866-3339.
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