
Get Counterfeit Currency Form
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How to fill out the Counterfeit Currency Form online
Filling out the Counterfeit Currency Form online can seem daunting, but with the right guidance, you can complete it efficiently. This guide provides clear, step-by-step instructions to help you navigate each section of the form with confidence.
Follow the steps to complete the Counterfeit Currency Form online.
- Click 'Get Form' button to obtain the form and open it in your preferred editor.
- In Part 1, fill in the details of the reporting branch/location. Start with the name of the entity responsible for the report. Then enter the name of the branch where the counterfeit currency was detected. Include any branch reference number that can uniquely identify it.
- Complete the address details, including building number, street or road name, locality, city or town, district, state, and country. Ensure the postal pin code is a valid 6-digit number.
- Provide the contact information for the branch, including telephone and fax numbers, as well as an email address for further communication.
- Move to Part 2, where you will report the details of the counterfeit currency. Specify the number of pieces of counterfeit currency detected, their denomination, and calculate the total value. Ensure this matches the product of the denomination and the number of pieces.
- In Part 3, record the details of detection. Start by entering the date of cash tendering in the specified YYYYMMDD format. Then, input the total cash deposited, including counterfeit currency.
- Provide the date of detection in YYYYMMDD format. Indicate where the counterfeit currency was identified by selecting from the provided options such as cash counter, branch level, or currency chest.
- Specify whether the local police station has been informed about the counterfeit currency. Include details of any FIR if available and provide any additional information about the counterfeit currency detected, such as quality or sequence of events.
- In Part 4, enter information about related persons, including the name of the person who tendered the counterfeit currency and the name of the account holder involved.
- Finally, include the account or card number of the person whose account was used for the transaction. Sign the form on behalf of the branch before submission.
- Once all sections are completed, you can save changes, download, print, or share the form as needed.
Take action now and complete the required documents online to ensure prompt reporting.
Report suspected counterfeit currency to your local authorities. Law enforcement agencies, banks and cash processors will submit suspected counterfeit currency to the Secret Service through our USDollars website.
Fill Counterfeit Currency Form
1. Prepare two copies of this form for each suspected counterfeit note. 2. Report suspected counterfeit currency to your local authorities. Report Counterfeit Currency. Visit the Secret Service website to complete a Counterfeit Note Report or contact your local U.S. Secret Service field office.
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