Title (Required) Miss. Mr. Mrs. Ms. Mx. Other

First Name (Required)

Last Name (Required)

Email (Required)

Phone Number (Required)

What was the type of fraud? (Required) Please select suitable category from the following drop down Unsure Investment Fraud Purchase Fraud Romance Fraud Job Fraud Impersonation Fraud Crypto Fraud Advanced Fee Fraud Invoice Fraud

How much money have you have lost? (Required) Please select the amount range that best represents your losses £0 – £1,999 £2,000 – £2,800 £2,801 – £9,999 £10,000 – £24,999 £25,000 – £49,999 £50,000 – £99,999 £100,000+

Was it the first transaction in the last five years? (Required) Yes No

Did you open an account as part of the scam? (Required) Yes No

What was the name of the bank you used for the transaction? (Required) Please select a suitable category from the following drop down Atom Bank Bank of Scotland PLC Barclays Binance Cahoot Cater AllenLimited Chase Clydesdale Bank Coinbase Co-op Bank Crypto.com eToro First Direct Halifax HSBC Intelligent Finance Lloyds Bank M&S Bank Metro Bank Monzo Nationwide Building Society Natwest PayPal Post Office Money Revolut Santander Starling Tesco Bank TSB Ulster Bank Virgin Money Western Union Wise Yorkshire Bank Other

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