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Sheriff's Office
County Jail
Online Forms
Contact Us
Fraud Form
Identity & Contact
Reasons for No Information (if any)
Name
*
Business Name
DOB
*
State
*
DL Number
*
Personal Address
*
Business Address
Home Phone
Cell Phone
Work Phone
Email
*
Business Website
Does this involve banking or credit fraud?
*
Yes
No
Fraud Details
Describe the fraudulent activity
*
Date Reported
*
Date Cancelled
*
Do you know who did it?
*
Yes
No
Anyone authorized?
*
Yes
No
Recognize the info used?
*
Yes
No
Check all that apply
Lost
Stolen
Account used without authorization
Card still in my possession
Never received card in the mail
Never applied for this account/card
Other (explain below)
If "Other", please explain
Fraud Transactions
Add up to 10 transactions.
+ Add transaction
Transaction 1
Date
*
Amount (USD)
Merchant Information
Signature
Type your full name as your signature
*
Date Signed
*
Submit