Email Hoax Report Form

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First Name:
Last Name:
Date of Birth:
Address:
City:
State:
Zip Code:
Daytime Phone:
 
Alternate Phone Number:
 
Email Address:
 
Date/Time Received:
Pick date
:
Please describe what you did after receiving this email (did you respond or send money?):
Did you receive this email in Scottsdale (is your work or home located in Scottsdale?)
YesNo