Home Seeking Victims in the QuadrigaCX Investigation

Seeking Victims in the QuadrigaCX Investigation

Seeking Victims in the QuadrigaCX Investigation

The Federal Bureau of Investigation (FBI), Internal Revenue Service Criminal Investigation (IRS-CI), the United States Attorney’s Office for the District of Columbia, and the Department of Justice’s Computer Crime and Intellectual Property Section are conducting an ongoing investigation.

If you have questions or concerns about your QuadrigaCX account, or if you believe you are a victim, please complete this brief questionnaire. Your responses are voluntary but would be useful in the federal investigation and to identify you as a potential victim. Based on the responses provided, you may be contacted by the FBI and asked to provide additional information.

The FBI and IRS-CI are legally mandated to identify victims of federal crimes that they investigate and provide these victims with information, assistance services, and resources.

Contact Information
Questions
2. Did you provide identifying information when opening your account?


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3. What was the approximate account balance (in U.S. dollars) as of January 31, 2019? Select one






4. When was your last transaction with QuadrigaCX (deposit/withdrawal/trade)? Select one



5. Do you have email confirmations for transactions, account statements, or other financial records associated with your account?


6. Do you have transaction identification numbers, deposit addresses, or hot wallet addresses?


7. Did you request any withdrawals of U.S. dollars, Canadian dollars, or other fiat/ government-issued currencies from QuadrigaCX? Select one





8. Did you send funds to QuadrigaCX or receive funds from QuadrigaCX using one or more accounts at US-based financial institution(s)?


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