Crypto Investigate Request

Thank you for filing an investigate request. Please fill out as much information below as possible to assist in our investigative process.

Once your request is received, it will be processed by our office and reviewed by attorneys to determine how we can assist you. A case number and special agent may then be assigned. The special agent will contact you and provide with your case number within approximately two weeks after receiving your complaint. Also, please be aware that the business you are filing against will be contacted and given a chance to respond. Please know that an investigation could take several months. If you need assistance sooner, you may wish to contact a private attorney.

Note: The '<' and '>' characters are not allowed in this form for security purposes.

INFORMATION ABOUT THE CONSUMER

INFORMATION ON THE BUSINESS / SCAM / TRANSACTION

Please describe the transaction in chronological order:

INFORMATION REGADING CRYPTOCURRENCY OR NON FUNGIBLE TOKENS (NFTs)

Your Cryptocurrency Wallet Address (this is needed to trace your funds)

Series of numbers and letters provided to you by the third party to send the cryptocurrency to.

Suspects Cryptocurrency Wallet Address (this is needed to trace your funds)

Series of numbers and letters provided to you by the third party to send the cryptocurrency to.

Cryptocurrency transaction hash (this is needed to trace your funds)

Series of number and letters provided to you to confirm the transaction, usually provided by the business/ATM used to send the cryptocurrency.

HOW INITIAL CONTACT WAS MADE

Action you have taken

Describe in detail, how you attempted to obtain your funds and the outcome:

If yes, please describe the current status of the legal action.

Verification

Verification Statement

In filing this request, I understand and agree that the Attorney General and his staff are not my private attorneys, but instead represent the State of Kansas in enforcing laws designed to protect the public from deceptive and unconscionable business acts and practices. I understand that Kansas law limits the period of time during which I may file any private legal action(s). I further understand and agree that the contents of this request may be forwarded to the business or person against whom this request is directed and may be forwarded to other appropriate agencies and will become accessible to others under the Kansas Open Records Act. I hereby authorize any party to whom the Attorney General directs this complaint to release any and all information about this matter, including account information, to the Kansas Attorney General's Office. Finally, I declare and verify under penalty of perjury and the laws of Kansas that all of the foregoing information is true and correct to the best of my knowledge.