Contact: IRS Impersonation Scam Reporting - U.S. Treasury Inspector General for Tax Administration (TIGTA)

If you believe you have been a victim of an IRS Impersonation Scam, please fill out the form below.

ONLINE FORM Information regarding the IRS Impersonation Scam(s) you wish to report:
Date of Incident:

Did you suffer a financial loss?		Yes No
If Yes, enter amount:	$

How did you pay the impersonator?
If Other, enter method:
Please enter the card number (if applicable):
Where did you go to make your payment?
If Other, enter location:
Your Payment City:
Your Payment State:
Payment Date:
Time:
Dollar Amount Provided:
Name of Person Payment Sent To:
Sent to City:
Sent to State:
Bank Account Number:
Bank Name:
Routing Number:

If you provided a Second Payment:
On the second payment, how did you pay the impersonator?
If Other, enter method:
Please enter the card number (if applicable):
Where did you go to make your payment?
If Other, enter location:
Your Payment City:
Your Payment State:
Payment Date:
Time:
Dollar Amount Provided:
Name of Person Payment Sent To:
Sent to City:
Sent to State:
Bank Account Number:
Bank Name:
Routing Number:

Did you provide the impersonator with any personal or sensitive information (other than your full name, telephone number or address)?		Yes No
If, Yes, please specify the type of information:

If you provided your Date of Birth, please enter it here:		MM DD YYYY
If you provided your Social Security Number, please enter it here:
Please confirm Social Security Number

How did the impersonator contact you?

How did the caller identify himself/herself (name and/or title)?

From what phone number did they contact you?

From what email address did they contact you?

What phone numbers were you directed to call?

Additional Information (Optional): Limit 500 characters

Please enter your name, address, city, state of residence, ZIP code, e-mail address, and/or your telephone number below. This will assist us if we need to get in touch with you for additional information.
Name:
Street Address:
City of Residence:
State of Residence:
ZIP Code:
Email Address:
Telephone:
Cell Telephone:

Date of Birth:		MM DD YYYY
Social Security Number:		(Optional) Last 4 Digits

Please create a 5-digit verification PIN. You will not be able to submit an online complaint without entering a PIN. Please memorize your personalized PIN.
5-digit PIN:
In the event a TIGTA Special Agent contacts you about your complaint, please request the personalized PIN for confirmation. Please take caution if the person does not know the PIN. *Please memorize and write down your 5-digit PIN before you click the Submit button

Signature (Please Type Your Name):
Signature Date:
Certify	By checking this certify box and submitting this form, I certify, under penalty of perjury under the laws of the United States of America, that the foregoing is true and correct.

This question prevents automated submissions:



Thank you for filing your complaint. Once you click the submit button, your complaint will be logged; and you may or may not be contacted by our team for follow-up.