Step 1 of 3 33% This field is hidden when viewing the formFull Name(Required) First Last This field is hidden when viewing the formEmail Address(Required) This field is hidden when viewing the formScam Amount£0 - £1,999£2,000 - £9,999£10,000 - £499,999£500,000 +Disclaimer goes hereIf you require help to fill in the questionnaire call: 0333 0033218 or email us at info@nationalfraudhelpline.co.ukDate of birth(Required) DD slash MM slash YYYY Preferred method of contact(Required)Please ChooseEmailTextPhoneWhatsAppAddress(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Did you move the funds from one of your own accounts (e.g. savings account) to another one of your own accounts before paying the scammer?(Required) Yes No Do you know the name of the scammer or the website through which the fraud took place?Did your bank issue any warnings before the money was transferred?(Required) No Yes, they phoned me. Yes, they emailed me. Yes, they initially blocked the payment. When Did You Realise You had been scammed? (estimated)(Required) DD slash MM slash YYYY If you require help to fill in the questionnaire call: 0333 0033218 or email us at info@nationalfraudhelpline.co.ukHave you reported the scam to any of the below? Action Fraud Bank Police Financial Ombudsman If you have reported the scam to any of the above, Please enter any reference number.Briefly explain how you were scammedHave you been the victim to any other scams?(Required) Yes No Not Sure It helps us with your claim to assess whether our clients were vulnerable at the time of the scam. Please tick the box if any of the following apply:Health Physical disability Learning difficulties Hearing/ Visual impairment Severe long-term illness Suffering from addiction Mental health condition Everyday difficulties Low knowledge of managing finances Poor literacy or numeracy skills English as a second language Struggle with computers and IT Caring responsibilities No access to support Life events Retirement Bereavement Relationship breakdown Caring responsibilities Domestic abuse victim Sudden drop in income Resilience Erratic income In debt Low savings Emotionally vulnerable By clicking submit you acknowledge and accept the terms of our privacy policy regarding the storage and use of your data. CommentsThis field is for validation purposes and should be left unchanged.
