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Forged Check Self-Reporting Form
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Reportee / Victim Information
Financial Institution Information
Name of Institution
Bank Employee Name
Bank Phone Number
Bank Account Number
Bank Account Routing Number
Fraudulent Transaction Information
Date, Time, Amount, Location of Transactions
I have read the statement below and will supply the information. Type yes in the space provided.
You MUST provide a copy of the Affidavit of Forgery/Fraud AND a copy of the check from your financial institution. A letter from the bank listed on the check identifying the account is not valid / check is a forgery AND a copy of the forged/fraudulent check will also be accepted at the time the report is filed. All forms can be emailed to addresses listed below.
Mail to: Sherman Police Department, 317 S Travis, Sherman, TX 75090; or
Fax to: 903-892-7188; or
Email to: email@example.com, firstname.lastname@example.org, or email@example.com
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