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IC3 Form

Business or Personal

Are you reporting on behalf of a business?*

Are you reporting an online incident, crime, scam, or a victimization of behalf of another person such as a parent, relative, or grandparent?*

Tell us what happened.

Please describe the incident in your own words.*

When did the incident occur?*

Did the incident occur multiple times? If yes, please list additional dates and times.

How would you categorize the incident?*

Are there witnesses or victims to this incident?

How did the incident occur?

Please enter (or copy+paste) the initial text that was used to contact you. To learn how to copy and paste, please click here.

If it's easier, feel free to upload a screenshot of your email instead. You can learn how to do that here for Apple products or here for Android devices.

How did the incident occur?*

Did the incident involve a financial transaction such as transferring funds?*

Alleged perpetrator information, if available:

Victim contact information

If you're filling out this form on behalf of someone else, please let us know how to reach you:

Reports to other agencies or law enforcmeent

If you have reported this incident to other law enforcement or government agencies, please provide:

  1. name of agency or agencies
  2. phone number
  3. email
  4. date reported
  5. report ID
  6. any other information that might help us cross-reference your case

Electronic Signature