Letter to Report a Cryptocurrency Scam - Template Form

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Our reference: ________

Your reference (if known): ________

Dear Sir or Madam,

RE: REPORT OF CRYPTOCURRENCY FRAUD — REQUEST FOR INVESTIGATION AND ASSISTANCE

Complainant: ________

Date of birth: ________

Date(s) of incident: ________

1. Purpose of this letter

1.1 I am writing to formally report that I have been the victim of a cryptocurrency fraud and to request that you investigate the matter and take such action as may be appropriate. I make this report on the understanding that the information provided is true to the best of my knowledge and belief.

1.2 Where appropriate, I understand that this report may also be referred to or recorded by Action Fraud (the UK’s national fraud and cyber crime reporting centre) and the National Fraud Intelligence Bureau. The Action Fraud crime reference number for this matter, if one has been issued, is: ________.

2. Particulars of the fraud

2.1 The incident in question occurred on or about ________. The material facts are as follows:

2.1.1 The cryptocurrency type and amount transferred was ________.

2.1.2 The cryptocurrency was sent from my wallet held on the platform ________.

2.1.3 My sending wallet address was ________.

2.1.4 The recipient (destination) wallet address to which the funds were transferred was ________.

2.1.5 The relevant transaction hash(es) / reference(s) are: ________.

2.1.6 The identity, trading name, website, application or other details of the perpetrator(s) so far as known to me are: ________.

2.1.7 The manner in which the fraud was carried out is described below: ________.

2.2 I can establish ownership of, and my entitlement to, the cryptocurrency in question through the following means:

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3. Legal basis

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3.2 The conduct may further engage section 3 (fraud by failing to disclose information) and section 4 (fraud by abuse of position) of the Fraud Act 2006, as well as the offences of theft contrary to the Theft Act 1968 and offences under the Proceeds of Crime Act 2002 in respect of the handling or laundering of the proceeds.

3.3 In addition to any criminal investigation, I reserve all of my civil rights and remedies in respect of this matter, including (without limitation) claims in deceit, unjust enrichment, breach of trust and proprietary tracing claims against the cryptocurrency and its traceable proceeds, together with any application for injunctive or freezing relief.

4. Loss suffered

4.1 As a direct result of this fraud, I have suffered a financial loss of £________ (________), being the sterling value of the cryptocurrency transferred as at the date of the transaction.

4.2 Following discovery of the incident, I have taken steps to secure my accounts and wallets and have reported the matter to the following other authorities and institutions: ________. Notwithstanding those steps, I bring this matter to your attention so that appropriate action may be taken and further loss to me and to others prevented.

5. Enclosures and evidence

5.1 I enclose copies of all relevant documents and evidence in support of this report, including transaction records, wallet statements and addresses, blockchain transaction references, screenshots, correspondence with the perpetrator(s) and any other materials that may assist your investigation. A schedule of the enclosures is as follows: ________.

5.2 I confirm that the originals of the enclosed documents are available for inspection on request.

6. Data protection

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7. Cooperation and contact

7.1 I am willing to provide a witness statement and any further information or assistance you may reasonably require, and to attend an interview if necessary. Please do not hesitate to contact me using the details set out at the head of this letter should you wish to discuss this matter further.

7.2 I should be grateful if you would acknowledge receipt of this report and confirm the reference number under which it has been recorded.

7.3 I confirm that the contents of this letter are true to the best of my knowledge and belief.

Thank you for your attention to this matter.

Yours faithfully,

______________________

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Date: ________