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Online Criminal Investigation Information Referral Form
Your Information
Please enter information about yourself, in the boxes below. While you are not required to enter any information about yourself, your information would be helpful to us, should we need to follow-up with you in this regard.
Name:
Address:
City:
State: AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY
Zip Code: Enter a zip-code as 5 or 9 numbers, with no dashes, no spaces.
Phone: Enter a phone number as 10 numbers, with no dashes, no parenthesis, no spaces.
Email:
Referral Information
Please enter information about the person(s) or business(es) you are referring, in the boxes below. Any information you would provide will be helpful.
Name: *Required
Address: *Required
City: *Required
Zip Code: Enter a zip-code a 5 or 9 numbers, with no dashes, no spaces.
Other: Enter any other identifying information.
Is the person you are referring:
Type of Fraud:
Please describe your complaint below. Provide any additional information regarding the business or individual that will help us identify them for purposes of an investigation. Details such as address, business name or home address are helpful.
If you have supporting documentation or attachments you wish to submit with this referral, such as a PDF file or photograph, please follow the instructions on the confirmation page after you submit your referral.