Your Name
Still ongoing?
Approximately how much money was given or transferred?
How were funds transferred?
(Check all that apply)
How did you meet this person?
Did you ever meet this person in real life?
Were you asked to keep the relationship or financial assistance secret?
Were there repeated emergencies or urgent requests for money?
Did the individual provide identification, business documents, or explanations that later seemed inconsistent or unverifiable?
Do you know or suspect there may be other victims?
Are there any known witnesses who can corroborate interactions or transactions?
Have you reported this matter to any of the following?
(Check all that apply)
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