Personal Information

• Full name
• Email
• Country
• Telephone/WhatsApp

Incident Information

• Type of scam
• Approximate amount lost
• Cryptocurrency
• Blockchain/network
• Date of incident

Blockchain Information

• Wallet address
• Transaction hash/ID
• Receiving address
• Sending address, if available

Incident Description

“Please describe what happened, including how you were contacted, where the funds were sent and what happened afterward.”