*indicates required information
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.
Please provide names of any others involved.
Please provide brief details of the information you have.
Please provide any other information you think would be relevant.
Please provide details of vehicles, travel and transport used, where known.
To help us assess how we appropriately use the information provided please complete, where possible the following.
We may need you to repeat this information in Court. Are you prepared to give a witness statement?
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.
Address
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.
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).