Recovery Service

Recovery Service 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.

Step One: Basic Information

Step Two: Fraud Details

Step Three: Additional Information

Your Full Name: Your Email Address: Contact Number: Country: Select Fraud Category:

Select the type of Financial Fraud: Company/Broker Name: Company Website/URL: Amount Lost (in USD): Date of First Payment: Payment Method Used: Payment Information (Optional - wallet address, bank account no. etc.): How did you come in contact with the company? (Add referral if applicable): Enter referral information (If a third party was involved):

Select the type of Identity Theft & Payment Fraud: Name of Fraudster, Company or Website: Amount Lost (in USD): Date of First Fraudulent Payment/Transaction: Method of Payment Used in Fraud: Was the payment made by you? (Did you authorize the payment?): How did you come in contact with the fraudster? (Add referral if applicable): Enter referral information (If a third party was involved):

Select the type of Employment & Business Scam: Company/Business Name: Company Website/URL: Amount Lost (in USD): Date of First Payment/Transaction: Method of Payment Used: Payment Information (Optional - wallet address, bank account no. etc.): How did you come in contact with the company? (Add referral if applicable): Enter referral information (If a third party was involved):

Select the type of Support Needed: Brief Description of the Issue: Amount Involved (in USD): Have You Attempted Any Recovery or Legal Action? Current Legal Status or Representation (if applicable):

Please provide any additional details (optional): Have you contacted law enforcement?: Please upload any supporting documents (optional): Preferred Contact Method: How soon do you need assistance?

Recovery Service Form

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