Lottery Scam Phone Call Complaint Form
Report details of suspicious phone calls claiming lottery winnings to help prevent fraud.
Your Full Name
*
First Name
Last Name
Your Email Address
*
example@example.com
Your Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Date of Scam Call
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Time of Scam Call
Hour Minutes
AM
PM
AM/PM Option
Phone Number That Contacted You
*
How did the caller contact you?
*
Phone call
Text message/SMS
Voicemail
Other
What did the caller claim or promise?
*
Did the caller ask for any of the following?
*
Personal information (e.g., address, date of birth)
Bank account details
Payment or transfer of money
Other
Did you send any money or share information?
*
Yes, I sent money
Yes, I shared personal information
No
Have you reported this incident to any other organization?
Yes, to the police
Yes, to my phone provider
Yes, to another agency
No
Upload any evidence (screenshots, call recordings, documents)
Upload a File
Drag and drop files here
Choose a file
Cancel
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Additional Comments
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