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Federal Bureau of Investigation Federal Bureau of Investigation
Home • Bank and Credit Card Scam Investigation Questionnaire

Bank and Credit Card Scam Investigation Questionnaire

Bank and Credit Card Scam Investigation Questionnaire

If you have been directed to this questionnaire via an FBI communication, it is because the FBI has reason to believe your personal information has been released on web sites that contain your full name, bank account information, credit card information, passwords, and pin numbers. As such, please answer the questions below to the best of your ability. Based on your responses, you may be contacted by the FBI and asked to provide additional information.

Contact Information
Date of Birth
/ /  
Investigation-Specific Information
1. Have you noticed any unauthorized charges on your credit or debit card?


2. Did the charges occur between April 8, 2024, and June 2, 2024?


3. Is the credit or debit card still in your possession?


4. Do you know the name of the company and/or the location where the charge was made?


5. If asked, are you able to provide a copy of the fraudulent charge?


6. Did you dispute the charge with your credit card company?


7. Have you noticed any unauthorized large withdrawals from your bank account during this same time period of April 8, 2024, until June 2, 2024?


8. Did you dispute the withdrawal with your bank?


9. Are you willing/available to be interviewed by a Detective or FBI Agent if necessary?


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