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Please complete each of the fields below and select the “Submit” button to send your request.

First Name:
Last Name:
*Please re-enter Email:

  Please send follow-up information as it becomes available.

Enter the information you wish to provide:

(Please be specific and include any and all descriptive information, such as time, date, address, and any details regarding the metals theft or metals fraud.)

Locator Link (such as Google Maps, Longitude & Latitude, etc.)

Attached file(s)
Complete browsing before clicking upload. You will only be allowed to upload once. If you need to re-upload, you will need to start the form over.

  1. For each supporting document you will be submitting, first select the "Browse" box; and from your computer choose the specific file you would like to attach. Up to five (5) documents can be selected.
    NOTE: Attachments cannot contain special characters such as :/\*?><| in the file name.
  2. Once you have used the "Browse" button to select all of the supporting documents you want to submit, next click on the "Attach" button to simultaneously attach all of your documents.
    NOTE: You must "Attach" all supporting documents at the same time, before you click on the "Submit" button.
  3. After you have attached the supporting documents, then select the "Submit Form" button.