Pocatello Police Department

911 N 7th Avenue
Pocatello, Idaho

208-234-6100

You must answer the following questions before filing a report:

Is this crime taking place in person right now?

Select  Yes No

To file your fraud or identity theft report, please provide as much information and detail as possible. Fields marked with an asterisk (*) are required. Incomplete reports will not be filed. If you have any questions, please contact the Pocatello Police Department at 208-234-6100.

Attachments

If you have photographs or documents to attach, please upload them below. (LIMIT: 5 files no more than 7MB each)

Drop files here or click to upload.

Reporting Party

First Name
Last Name
Home Address
City
State	Unspecified - Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia  Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
ZIP Code
Daytime Phone
Alternate Phone
Email Address
Alternate Email
Gender	Unspecified - Male Female
Date of Birth	mm/dd/yyyy
Driver's License State	Unspecified - Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia  Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Driver's License Number

Incident Information

Did this take place online?	No   Yes
Online crimes are investigated by the FBI. Please report this at ic3.gov. If you also need a police report number for your financial institution or credit bureau, continue filling out the form. Please note that crimes without local suspect information may be closed without investigation.
I understand.	No   Yes
Is the victim a business?	No   Yes
Business Name
Business Address
Business Phone
Additional Business Information
Were forged checks written on your account?	No   Yes
Bank Name
Total Value
Additional Bank Information
Were charges made to a financial transaction card?	No   Yes
Credit/Debit Card Company
Total Value
Additional Card Information
Is the card still in your physical possession?	No   Yes
Where did you last use the card?	Please provide details such as business name, location, and timeframe.
Has anyone else been give permission to use the card?	If you have ever given anyone permission to use your card and/or the PIN, please explain.
Were charges made to your bank account (such as a wire transfer)?	No   Yes
Bank Name
Total Amount of Fraudulent Charges
Additional Account Information
Were new accounts opened with your information?	No   Yes
Company Name
Date Opened
Account Balance
Additional Account Information
Was a fraudulent tax return filed with your information?	No   Yes
Did you cash a fraudulent check?	No   Yes
Name on Check
Bank Name
Check Number
Account Number
Routing Number
Value
Additional Check Information
Did you send money or provide card information to a fraudulent company?	No   Yes
Company Name
Contact Information (phone number and/or email address)
Amount Sent
Additional Company Information
Did you send money or provide card information to an individual under false pretenses?	No   Yes
Name
Contact Information (phone number and/or email address)
Amount Sent
Additional Suspect Information
Has your bank removed the charges, or will they be reimbursing you?	No   Yes
Time Frame of Incident	Between and
Incident Location	Please provide a description of the exact location where the incident occurred, being as specific as possible. If the transaction occurred online, provide the website information.
Incident Description	Please provide a detailed description of what accounts were opened with your information and/or what charges were made, when, and where.
Do you have any witnesses?	No   Yes
Name
Contact Information (phone number and/or email address)
Additional Witness Information
Do you have any contact information for an account representative?	No   Yes
Name
Business
Contact Information (phone number and/or email address)
Case Number
Additional Representative Information
Do you have any suspects not listed above?	No   Yes
Name
Contact Information (phone number and/or email address)
Additional Suspect Information
If the suspect is a relative, are you willing to prosecute?	No   Yes

Acknowledgment

Acknowledgement #1	I have reviewed my report to ensure that all pertinent details are included, such as any witnesses, photographs, video, vehicle descriptions, suspect descriptions, etc., as the decision to close this case or assign it for further investigation will be made based on the content provided.
Acknowledgement #2	I acknowledge that knowingly falsifying a crime report is punishable by Idaho State law.