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Company
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Subject
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How Can We Help You?
Fraud Reporting
Use the following section to report any suspicious emails, texts or other activity you may have received from anyone who has claimed they represent Pavillion Agency.
Victim Information
Please provide information on who received these communications.
Name
Victim Email Address
Phone
Description of Incident
Please provide a description of the incident and how you were victimized: Which of the following were used in this incident? (Check all that apply.):
Which were used?
Select all that apply.
- Email communication
- Text-message communication
- Similar website to Pavillion Agency
- Similar email address to Pavillion Agency
- Fraudulent job posting (please specify job-board website)
Information About the Subject(s) Who Victimized You
Name used:
Business Name Used:
Address on correspondence:
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone listed:
Email used:
Website listed:
Other Information
If emails or text messages were used in this incident, please provide copies of the entire messages: If you have reported this incident to other law enforcement or government agencies, please provide the name, phone number, email, date reported, report number, etc.:
Answer this question to submit form: 6-3=*
Phone
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