SSF 1604: Counterfeit Note Report, Suspected Counterfeit Note Submission Form

SSF 1604 PDF Details

Send the completed form to: Bureau of Engraving and Printing, c/o CCPF, 301 14th Street SW, Room 541-A, Washington, DC 20228.

Counterfeit: each note submitted to CCPF using this form will be considered counterfeit, unless otherwise determined by the Secret Service.

Return: CCPF will only return this form if the note is determined to be genuine to an address (not a P.O. Box) listed below by the submitter.

Property interest: the submitter agrees to abandon any property interest in each suspected counterfeit note submitted to CCPF using this form.

Your copy: retain a copy of the completed form for your records.