Recovery Assistance Form Kindly complete the form below to begin your asset recovery process.The details you provide are essential for us to get started. Once submitted, a member of our recovery team will contact you shortly to guide you through the next steps. 1 Step One: Basic Information 2 Step Two: Fraud Details 3 Step Three: Additional Information Your Full Name: Your Email Address: Contact Number: Country: Select Fraud Category: —Please choose an option—Financial & Investment FraudIdentity Theft & Payment FraudEmployment & Business ScamsRecovery & Legal Support Previous Next Select the type of Financial Fraud: —Please choose an option—Broker & Investment ScamsCryptocurrency FraudLoan & Debt Collection ScamsTax Fraud & False Tax FilingDebt Relief & Credit Repair Scams Company/Broker Name: Company Website/URL: Amount Lost (in USD): Date of First Payment: Payment Method Used: —Please choose an option—Credit CardWire TransferCryptocurrencyBank TransferOther Payment Information (Optional - wallet address, bank account no. etc.): How did you come in contact with the company? (Add referral if applicable): —Please choose an option—EmailPhoneSocial MediaIn-PersonReferralOther Enter referral information (If a third party was involved): Select the type of Identity Theft & Payment Fraud: —Please choose an option—Credit Card Fraud & Identity TheftRomance ScamsShopping & Payment FraudFake Charities & Donation ScamsLottery, Prize & Sweepstakes Scams Name of Fraudster, Company or Website: Amount Lost (in USD): Date of First Fraudulent Payment/Transaction: Method of Payment Used in Fraud: —Please choose an option—Credit CardPayPalBank TransferGift CardsOther Was the payment made by you? (Did you authorize the payment?): —Please choose an option—YesNo How did you come in contact with the fraudster? (Add referral if applicable): —Please choose an option—EmailPhoneSocial MediaIn-PersonReferralOther Enter referral information (If a third party was involved): Select the type of Employment & Business Scam: —Please choose an option—Wire Fraud & Business Email Compromise (BEC)Employment ScamsReal Estate ScamsShipping & Parcel ScamsInsurance Fraud Company/Business Name: Company Website/URL: Amount Lost (in USD): Date of First Payment/Transaction: Method of Payment Used: —Please choose an option—Credit CardWire TransferBank TransferGift CardsOther Payment Information (Optional - wallet address, bank account no. etc.): How did you come in contact with the company? (Add referral if applicable): —Please choose an option—EmailPhoneSocial MediaIn-PersonReferralOther Enter referral information (If a third party was involved): Select the type of Support Needed: —Please choose an option—General Recovery SupportLegal Support for Fraud VictimsPre-Investment & Payment AdvisoryFraud Victim Counseling & Emotional Support Brief Description of the Issue: Amount Involved (in USD): Have You Attempted Any Recovery or Legal Action? —Please choose an option—YesNo Current Legal Status or Representation (if applicable): Previous Next Please provide any additional details (optional): Have you contacted law enforcement?: —Please choose an option—YesNo Please upload any supporting documents (optional): Preferred Contact Method: —Please choose an option—EmailPhone How soon do you need assistance? —Please choose an option—UrgentWithin a weekFlexible Previous Next