HMRC: Structured Email

*indicates required information

Person/business you are giving information about

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

Last name:

First name:

Middle name(s):

Any nicknames used:

Business name:

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

Address Line 1:

Address Line 2:

Address Line 3:

Postcode:

Country:

Telephone number(s) - including STD:

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

Approximate age:

Date of birth (if known):

dd/mm/yyyy

Nationality:

Please provide names of any others involved.

Names of others involved:

__________________________________________________

Details of information

Please provide brief details of the information you have.

What is taking place?

Where is this happening?

When does this happen?

How often does this happen?

How long has this been going on?

Tick if it is still happening.

Please provide any other information you think would be relevant.

Other information:

__________________________________________________

Vehicles, travel and transport used

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

Vehicles:

Flights and routing:

Ferry crossings:

Vessels and yachts:

Cargo and fast parcels:

Other transport or travel:

__________________________________________________

Using the information

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

Your connection with the person or business:

Are you still connected to the person or business?

How did you obtain this information?

Does anyone else know this information?

If so how many?

Will it affect you if we use the information?

If YES please explain how:

Will it affect others if we use the information?

If YES please explain how:

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

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.

Last name:

First name:

Middle name(s):

Date of birth:

dd/mm/yyyy

Address

Address Line 1:

Address Line 2:

Address Line 3:

Postcode:

Occupation:

Business details:

Contact telephone number - including STD:

When is it convenient to contact you?

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.

Email address:*

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).

HMRC Fraud Hotline - Information report form

Person/business you are giving information about

__________________________________________________

Details of information

__________________________________________________

Vehicles, travel and transport used

__________________________________________________

Using the information

__________________________________________________

Your details

__________________________________________________

Submit the form