HM Revenue & Customs

HMRC Fraud Hotline - Information report form

*indicates required information

Person/business you are giving information about

Please provide details of the person or business you are giving information about.

Please provide the address of the person or business you are giving information about. Give the area if the full address is not known.

Please provide the approximate age or date of birth and nationality of the person you are giving information about.

dd/mm/yyyy

Please provide names of any others involved.

__________________________________________________

Details of information

Please provide brief details of the information you have.

Please provide any other information you think would be relevant.

__________________________________________________

Vehicles, travel and transport used

Please provide details of vehicles, travel and transport used, where known.

 Help for Vehicles:
 Help for Flights and routing:
 Help for Ferry crossings:
 Help for Vessels and yachts:
 Help for Cargo and fast parcels:
 Help for Other transport or travel:

__________________________________________________

Using the information

To help us assess how we appropriately use the information provided please complete, where possible the following.

 Help for Your connection with the person or business:
 Help for Are you still connected to the person or business?
 Help for How did you obtain this information?
  •  Help for Does anyone else know this information?

We may need you to repeat this information in Court. Are you prepared to give a witness statement?

  •  Help for Tick if prepared to give a witness statement

__________________________________________________

Your details

Please complete your details below in case we need to contact you to clarify the information further. Your details will be treated securely within HM Revenue & Customs.

dd/mm/yyyy

Address

 Help for When is it convenient to contact you?
 Help for Security phrase if we call you back:

__________________________________________________

Submit the form

We need an email address to acknowledge that we have received the information you have completed on this form. If you would prefer not to receive an acknowledgment, please use the following email address in this field - <no.acknowledge@customs.gov.uk>

Please note: This box must be completed in order to submit the form. Please also ensure there are no spaces before or after the email address you enter.

Please click the 'Next' button to view a preview page summarising the information you have provided. If this page is not displayed, please use the scroll bar to locate any missing or incorrect entries which will be highlighted with a red error message(s).