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Cybercrime Report Template

The document is a template for reporting cybercrime incidents, requiring details such as the type of report, victim information, and specifics about the incident. It includes sections for the incident's date and time, description, monetary loss, and whether the incident has been reported to law enforcement. Additionally, it provides resources for reporting cybercrime online and encourages contacting local CERT or police departments for further assistance.

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luciferff730
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130 views4 pages

Cybercrime Report Template

The document is a template for reporting cybercrime incidents, requiring details such as the type of report, victim information, and specifics about the incident. It includes sections for the incident's date and time, description, monetary loss, and whether the incident has been reported to law enforcement. Additionally, it provides resources for reporting cybercrime online and encourages contacting local CERT or police departments for further assistance.

Uploaded by

luciferff730
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Cybercrime Report Template

To report an incident, please provide the following information

Type of report * Business/Enterpris

Incident reported by FS Gaming


First Name Last Name

Email address [email protected]

Victim information
Fill in your contact details

Report anonymously

Whenever possible, THE VICTIM LIVES IN KERALA BY A END SO FAR HE


enter any victim- MAKE A FRAUDULENT OF MONEY AND FACEBOOK
related information ACCOUNT AND HE HACK THE ACCOUNT AND
here LOCKED ACCOUNT FIND VICTIM

Attack(er) information
Fill in any and all data or information you have obtained

Do you know when the Yes No


incident occured? *

Date and time when 02 - 09 - 2025 5 : 40 PM


the incident occurred Hour Minutes
Month Day Year
Do you know how the Yes No
incident occurred? *

How did you learn Device showing strange or inappropriate behavior


about the incident? *
My Internet Service Provider (ISP)

My antivirus/antimalware software/hardware (UTM, firewall, IPS/IDS...)

Unauthorized money transfer from bank/credit card/PayPal/...

Alerted by my company's administrator

Alerted by a friend/colleague/security researcher

Other

Do you have Yes No


knowledge of any
other
victims/witnesses
involved in the attack?
*

Do you have Yes No


knowledge of the
actors behind this
attack? (ie. the
cybercriminals) *

Describe the incident * VICTIM FROM KERALA

Try to be specific and include as many details possible

Did you experience Yes No


any monetary loss? *

Monetary loss ($/€/ 1800


£/...)

Means of payment you Cash/Cashier's Check


used
Check/Debit Card
Credit Card

Money Order

Wire Transfer

Online Payment (PayPal, uKash, MoneyPak, ...)

Other

Have you already Yes No


reported this incident
to law enforcement or
government agencies?
*

Please refer to the following websites if you would also like to report this seperately:

Report Cybercrime Online (EU)

IC3 Complaint Referral Form (US)

In case you do not want to report this to a specific law enforcement agency seperately, just finish
up this form. If you are willing, it is possible to share any information through Criminal Intelligence
teams - this can be completely anonymous, similar to this form.

Be sure to contact your CERT or local police department to ask if they have such a team or
anonymous reporting possiblity (see also links above).

You can find a list of CERTs here:


CERTs by Country - Interactive Map

List of National CSIRTs

APCERT team members

Add any other


information you deem
relevant
Reset form Print form

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