Counterfeit Report Form Details

If you've ever received a counterfeit note, you know how important it is to report it. The Counterfeit Note Report Form makes it easy to do just that. This form is available on the Bank of Canada website, and allows you to provide all the necessary information about the note in question. So if you ever come across a fake bill, make sure to fill out this form and submit it to the Bank of Canada. By doing so, you can help keep counterfeiting under control and protect yourself from becoming a victim.

Below is the data relating to the PDF you were looking for to fill in. It can show you just how long it may need to complete counterfeit note report, exactly what fields you need to fill in and several additional specific details.

QuestionAnswer
Form NameCounterfeit Note Report
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other nameshow to fill out a courterfeit note report form, how to fill out a counterfeit note report, how to fill out a counterfeit currency report form, counterfeit report form

Form Preview Example

SUSPECTED COUNTERFEIT CURRENCY PROCEDURES

 

THE PASSER IS THERE

 

THE PASSER IS NOT THERE

 

 

 

 

 

1.

Stay safe!

1.

Stay safe!

 

 

 

 

 

 

2.

Contact NAUPD at the EMERGENCY number x3

2.

Contact NAUPD at the NONEMERGENCY

 

3000

 

number x33611

 

 

 

 

 

 

3.

Notify your supervisor.

3.

Notify your supervisor.

 

 

 

 

 

 

4.

Do not return the note to the passer.

 

 

 

 

 

 

 

 

5.

Delay the passer if possible.

 

 

 

 

a. CALMLY state that you are following

 

 

 

 

procedure. “The bill may be counterfeit

 

 

 

 

and I am required to follow procedure.

 

 

 

 

Can you stay around until they arrive?”

 

 

 

 

 

 

 

 

6.

Ask the passer to stay until the NAUPD arrives.

 

 

 

 

a. If they leave, make note of the passer's

 

 

 

 

description, as well as that of any

 

 

 

 

companions, and any other identifying

 

 

 

 

details such as the license plate numbers

 

 

 

 

of any vehicles used.

 

 

 

 

 

 

 

7.

Limit the handling of the note. Carefully place

4.

Limit the handling of the note. Carefully place

 

it in a protective covering, such as an

 

it in a protective covering, such as an

 

envelope.

 

envelope.

 

 

a. Write your initials and the date in the

 

a. Write your initials and the date in the

 

white border areas of the suspect note.

 

white border areas of the suspect note.

 

b. Make a copy of the bill – front and back.

 

b. Make a copy of the bill – front and back.

 

 

 

 

8.

Fill out the USSS Counterfeit Note Report (#19

5.

Fill out the USSS Counterfeit Note Report (#19

 

on the table of contents).

 

on the table of contents).

 

 

 

 

 

 

9.

NAUPD will question the passer.

 

 

 

 

 

 

 

10.

NAUPD will give you a card with the

6.

NAUPD will give you a card with the

 

departmental report number on it.

 

departmental report number on it.

 

 

 

 

11.

Surrender the note and the completed USSS

7.

Surrender the note and the completed USSS

 

Counterfeit Note Report only to a properly

 

Counterfeit Note Report only to a properly

 

identified police officer.

 

identified police officer.

 

 

 

 

 

 

12.

Email the NAh ^ƚ ĚĞ ƚ ĐĐ ƚƐ toalert the

8.

Email the NAU ^ ƚ ĚĞ ƚ ĐĐ

ƚƐ to alert the

officethat this event has occurred. Include the NAU

 

officethat this event has occurred. Include

departmental report number.

 

the NAU departmental report number.

 

 

 

 

 

 

9. Submit the deposit to ^ƚ ĚĞ

ƚ ĐĐ ƚƐ using

 

 

 

standard procedures. Include a copy of the

 

 

 

Counterfeit Note Report so that Cashiering can

 

 

 

offset the missing currency to the over/short

 

 

 

account.

 

 

 

 

 

 

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