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Partners in Policing

Fraud Report

You are a victim of a fraud if by deceit, falsehood, or other fraudulent means a person has defrauded you of property, money or valuable security or service. Example: Fraud by credit card, bank card, cheque or counterfeit money; identity theft.
* Required Fields

Date of Occurrence:   (yy/mm/dd)
Time of Occurrence: am   pm

Last date you saw your property: (approximately)   (yy/mm/dd)
Last time you saw your property (approximately) am   pm

Location of Incident:
Civic Address:
Street #: Street Name: Street Type:
Apt #: Community :
OR
Street/Cross Street:
Community:  
 
OR
Name of business or building where incident took place:
Community:  
 

Personal Information:
Name of Caller:
Surname: * First Name: * Middle Name:
Address:
Street #: Street: Street Type Apt #:
Community/City: Province/State:
Date of Birth:   Gender:
  (yy/mm/dd) Female   Male

Contact Information
Contact Number:* Contact Number 1: Contact Number 2:
Email:
Preferred Method of Communication:
How would you prefer us to contact you? Phone  Email

Witness Information:
Was there a witness? No   Yes
  
Suspect Information:
Is there a suspect? No   Yes

Give a brief outline of the Fraud that took place. Do not add any Credit Cart/Debit Card Numbers to this file. You will be contacted by Fraud Staff for that information:  

(Maximum characters: 1000)
You have characters left.

   

In accordance with Section 485 of the Municipal Government Act (MGA), the personal information collected on this form will only be used by law enforcement for the purpose it was collected or a compatible purpose and will only be disclosed to assist in an investigation.

 

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