SCAM DATA SUBMISSION FORM

It is useful to connect real world victims to blockchain addresses. Blockchain addresses can often be used to follow the funds and activity across the blockchain.

Type of Scam

Scammer/Malicious Blockchain Address (if multiple, separate with commas)

Approximate Date of Last Scam Activity

Month

Day

Year

Description of Malicious Activity/Scam (e.g., evidence of the case, scammer’s contact information [email, social media handle, phone number], scammer’s IP address, token ID, transaction hash, and the amount lost).

Evidence (e.g., screenshot of scam transaction)

First Name

Last Name

Phone

You acknowledge that you are voluntarily submitting information, data, and Personally Identifying Information to Integra FEC and its subsidiaries and affiliates. You acknowledge that you have all necessary permissions and authority to submit the information and it does not infringe any third party rights. By submitting information, you are giving Integra your consent to store and to use your submitted information at its discretion for any lawful purpose and without compensating you.