An official website of the United States government. Here's how you know
Official websites use .gov

A .gov website belongs to an official government organization in the United States.

Secure .gov websites use HTTPS

A lock () or https:// means you've safely connected to the .gov website. Share sensitive information only on official, secure websites.

Federal Bureau of Investigation Federal Bureau of Investigation
Home • Seeking Victim Information in Center for Special Needs Trust Investigation

Seeking Victim Information in Center for Special Needs Trust Investigation

Seeking Victim Information in Center for Special Needs Trust Investigation

The FBI is seeking to identify potential victims who may have suffered losses in connection with the Center for Special Needs Trust Administration, Inc. (CSNT), based in Clearwater, Florida. The FBI is conducting a criminal investigation.

If you have any information concerning this matter or if you believe you are or represent a victim or otherwise may have been affected, please complete the below questionnaire. Your responses are voluntary but could be useful in the federal criminal investigation and to identify potential victims and/or witnesses. You may be contacted by the FBI and asked to provide additional information.

The FBI is legally mandated to identify victims of federal crimes that it investigates and provide these victims with information, victim assistance services, and resources. We ask that you please take the time to complete an online questionnaire at https://forms.fbi.gov/survey. Participation is voluntary; however, your responses may be helpful to the ongoing investigation and help determine if you were the victim of a crime. You may be contacted by the FBI and asked to provide additional information.

 

If you have any questions regarding this questionnaire or resources for victims, please email CSNTvictims@fbi.gov Your patience is appreciated as we review each message.

Contact Information
Date of Birth
/ /  
Questionnaire
1. I am filling this form out on behalf of:




2. If filling out this form on behalf of a beneficiary, please provide the following information about the beneficiary:
3. Please indicate which of the below reasons led you to fill out this questionnaire:



characters remaining
characters remaining
9. Did you or the beneficiary communicate with person(s) at CSNT, Boston Finance Group, LLC, Boston Asset Management, Inc., and/or other entities or organizations regarding the trust account?


characters remaining
13. Did you or the beneficiary receive annual statements from CSNT? If yes, please forward copies of annual statements as pdfs to CSNTvictims@fbi.gov.


characters remaining
characters remaining

Privacy Act Statement

The FBI is authorized to collect the information on this form by one or more of the following provisions: Title 28, United States Code, sections 533 and 534; Title 28, Code of Federal Regulations, section 0.85; and the Attorney General Guidelines for Victim and Witness Assistance. The information requested will assist the FBI in providing you with assistance to which crime victims are entitled under federal law. You do not have to provide the requested information; however, failure to do so may hinder the FBI in providing you with crime victim assistance. The information collected on this form is protected by the Privacy Act of 1974, as amended, Title 5, United States Code section 552a, and is maintained in the FBI’s Central Records System, DOJ/FBI-002, a description of which was published in the Federal Register at 63 Fed. Reg. 8671 (Feb. 20, 1998) and which may be viewed at www.justice.gov/opcl/doj-systems-records#doj