Report a Fraudulent Activity

Please fill out this form if you believe you have information regarding fraudulent activities at a company or organization.

All information contained in this transmission is confidential and Hagens Berman Sobol Shapiro agrees to protect information against unauthorized use, publication or disclosure. However, if you would like to report fraud and do not wish to submit information via the Internet, please contact us by phone at (206) 623-7292.

* = required fields.

Describe the fraudulent activities *

First Name *	Last Name *
Address 1 *
City * State * Zip Code *
E-mail *	Phone *

Company or organization the information concerns *


Best way to contact you: E-mail Phone