Fraud Report Form Page 9
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10Privacy & Confidentiality Notice
The information in this document is intended for the information of the Queensland Police Service only.
If you are not the intended recipient please return this document to the nearest Police Station and disregard its content.
ACTION AGAINST SUSPECT/PERSON(S) OF INTEREST
Give details of disciplinary or civil litigation presently commenced or that you intend to instigate in the
future.
1.
Has this matter been previously reported to police or other authority or professional
body?
2.
Have you or are you likely to be reimbursed for your loss?
3.
Have you confronted the alleged offender? If so, what were the results?
4.
Has there been any agreement (verbal or otherwise) entered into, to regain your loss? If
so, please provide details.
5.
To what extent was the agreement successful?
6.
Do you intend to or have you instructed a solicitor to pursue your interests? Yes
No
If yes, what are the contact details of your solicitor?
7.
Are the services of a Debt Collection Agency being or likely to be used?
Yes
No
8.
Have any civil proceedings been initiated or are any being contemplated? Yes
No
9.
Has a decision been made by a court?
Yes
No
10.
Are you prepared to attend any criminal court proceeding and appeals to further this
prosecution?
Yes
No
Page 9 of 10
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