ADDITIONAL INFORMATION
Use the space below to provide any other, important information about this complaint:
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Thank you for completing this form. Mail the form and copies of bills, receipts, advertisements, canceled checks (front and back), or correspondence
related to your report to the address below. Do not mail your original. The U.S. Postal Inspection Service is a federal law enforcement agency, and Postal
Inspectors gather facts and evidence to determine whether a violation has occurred under the Mail Fraud or False Representation Statutes. While we
can’t guarantee you will recover money lost to fraud, your information can help alert Inspectors about new fraud schemes and prevent others from being
victimized. Postal Inspectors base mail fraud investigations on the number, substance, and pattern of complaints received from the public; therefore,
we ask you to keep all original documents relating to your complaint, including the solicitation, any mailing envelopes, and canceled checks. Under our
Consumer Protection Program, Postal Inspectors may contact individuals or businesses on your behalf to request that complaints be resolved. We will
contact you if more information is needed. Postal Inspectors caution that, once you have been targeted in a fraud scheme, your name may be passed
along to other con artists, so beware of future solicitations. If you know of others who believe they were victimized by fraud, we recommend they submit
a Mail Fraud Report. Postal Inspectors suggest that, before completing a business transaction, contact the Chamber of Commerce, Better Business
Bureau, or county or state Ofce of Consumer Affairs where the rm is located to get information on the company. Visit the Better Business Bureau at
bbb.org, the state National Association of Attorneys General at naag.org, and the Postal Inspection Service at www.uspis.gov for more information on
fraud involving use of the mail. Remember: If a deal sounds too good to be true, it probably is!
Return this form to your postmaster, or mail to:
CRIMINAL INVESTIGATIONS SERVICE CENTER
ATTN: MAIL FRAUD
433 W HARRISON STREET, RM 3255
CHICAGO IL 60699-3255
PRIVACY ACT STATEMENT
Your information will be used to submit a mail fraud report and to support investigations of criminal, civil, or administrative matters. Collection is authorized by 39
U.S.C. 401 and 404; and 18 U.S.C. 3061.
Supplying the information is voluntary, but if not provided, we may not be able to investigate your mail fraud complaint. We do not disclose your information to
third parties without your consent, except to act on your behalf or request, or as legally required. This includes the following limited circumstances: Incident to
legal proceedings that the U.S. Postal Service (USPS®) is a party to or has an interest in litigation; for law enforcement purposes when the USPS becomes aware
of an actual or potential violation of law; to a congressional ofce in response to an inquiry; to entities or individuals under contract or agreement with USPS to
fulll a function or provide a product or service; to government agencies and other entities authorized to perform audits; to labor organizations as required by law;
to a federal, state, local, or foreign government agency when necessary in connection with decisions by the requesting agency or USPS; to the Equal Employment
Opportunity Commission when requested in connection with the investigation of a formal complaint; to the Merit Systems Protection Board or Ofce of Special
Counsel for the purpose of litigation; to the public, news media, trade associations, or organized groups to provide information of interest to the public; to a
federal, state, local or foreign prison, probation, parole, or pardon authority or to any other agency involved with the maintenance, transportation, or release of a
person held in custody; and to a foreign country as authorized by an international treaty, convention, or executive agreement or to the extent necessary to assist
such country in apprehending or returning a fugitive to its jurisdiction. For more information on our privacy policies visit www.usps.com/privacypolicy.
Name and Signature Date
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PS Form 8165, July 2021, (Page 4 of 4)