Streaming Service Phishing Report Form
Help us investigate and prevent phishing attacks by providing details about your experience with a suspicious streaming service communication.
Your Full Name
*
First Name
Last Name
Your Email Address
*
example@example.com
Your Phone Number (optional)
Please enter a valid phone number.
Format: (000) 000-0000.
Which streaming service was targeted?
*
Please Select
Netflix
Hulu
Disney+
Amazon Prime Video
HBO Max
Apple TV+
Other (please specify)
How did you receive the phishing attempt?
*
Email
SMS/Text Message
Phone Call
Social Media Message
Other
Date and time you received the phishing attempt
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Please provide the suspicious URL, email address, or phone number involved (if available)
Briefly describe what happened and any actions you took
*
Did you enter any personal information in response to the phishing attempt?
*
Yes
No
If you provided any card details, please enter ONLY the last 4 digits of your card (leave blank if not applicable)
Upload any evidence (screenshots, emails, etc.)
Upload a File
Drag and drop files here
Choose a file
Cancel
of
May we contact you for additional information if needed?
*
Yes, you may contact me
No, please do not contact me
Submit Report
Should be Empty: