First Name
Last Name
Email
Phone Number
Organization (e.g., RCMP, Local Police, Detachment)
Title/Rank
Badge Number
Province/Territory
Date of Incident
Person Involved (First Name)
Person Involved (Last Name)
Amount(s)
Number of Transactions in Question
Detailed Description of the Incident
*Impersonating a law enforcement officer is an indictable offense. By submitting this form, you confirm that you are an authorized member of law enforcement or a securities investigator, and that all information provided is true and accurate to the best of your knowledge.
