🛡️ Case Intake Form

Complete this form to begin your fund recovery process. All information is confidential.

Full Name *

Please enter your full name

Email Address *

Please enter a valid email address

Phone Number *

Please enter a valid phone number

Country *

City/State

Type of Scam/Fraud *

Please select a scam type

Amount Lost (USD) *

Please enter the amount lost

Date of Incident *

Please select the date of incident

Description of What Happened *

Please provide a description

Payment Method Used *

Have you reported this to authorities? *

Yes

Have you contacted your bank/payment provider? *

Yes

Upload Evidence (Optional)

📁 Click to upload files
Receipts, screenshots, emails, transaction records, etc.
Max 5 files, 5MB each (PDF, JPG, PNG, DOC)

Supported formats: PDF, JPG, PNG, DOC, DOCX

I agree to the Terms and Conditions *

I consent to data processing for fund recovery purposes *

I authorize investigation on my behalf *

Submitting your case intake form...

✅ Case Submitted Successfully!

Thank you for submitting your case intake form. We have received your information and will review it shortly.

Case Reference ID:

You will receive a confirmation email at within the next few minutes.

Our team will contact you within 24-48 hours to discuss your case further.