Form SSF 1604 at a glance
What it is: SSF 1604 is the SUSPECTED COUNTERFEIT NOTE SUBMISSION FORM of the United States Secret Service Counterfeit Currency Processing Facility (CCPF).
Where and when to file: Send completed forms to: Bureau of Engraving and Printing, c/o CCPF, 301 14th Street, SW, Room 541-A, Washington, DC 20228.
A filled-in Form SSF 1604 example: a bank submits one note
How to fill out Form SSF 1604, box by box
Select One
Select One: Bank; Police Department, or Government Agency; or Casino, or Other Financial Institution.
Enter the Name of Submitting Entity.
Point of Contact
Enter the Point of Contact, the Email Address and the Phone Number.
Enter the Submitter Internal Reference # and the Police Report #.
Enter the Mailing Address (no P.O. Box), the City, the State and the Zip Code.
SUSPECTED COUNTERFEIT NOTE INFORMATION
Enter the Denomination and the Date of Activity or Deposit.
If the individual surrendering the note has a description of the passer, their vehicle information, or any other information which could be of use to law enforcement, the submitter should retain the suspected counterfeit note and report to their local police department or Secret Service field office.
Was the note seized (if Police Department)?
Enter the Serial Number, then Yes or No for Was the note seized (if Police Department)?
Note Received From (Name of Individual or Business)
Under Note Received From, enter the Name of Individual or Business, the Mailing Address (no P.O. Box), the City, the State and the Zip Code.
REMARKS
The remarks section can be used to provide additional information regarding the suspected counterfeit note.
More rules for Form SSF 1604
Staple the suspected counterfeit note face-up on the form.
Submit each suspected counterfeit note to the United States Secret Service CCPF using its own form.
Each note submitted to CCPF using this form will be considered counterfeit, unless otherwise determined by the Secret Service.
CCPF will only return this form if the note is determined to be genuine, to an address (not a P.O. Box) listed by the submitter.
The submitter agrees to abandon any property interest in each suspected counterfeit note submitted to CCPF using this form.
If you require assistance determining if a suspected counterfeit note may be genuine, contact your local Secret Service field office, which can be found on www.secretservice.gov/contact/field-offices.
Retain a copy of the completed form for your records.
Common questions about Form SSF 1604
Where do I file it?
Send the completed form to: Bureau of Engraving and Printing, c/o CCPF, 301 14th Street SW, Room 541-A, Washington, DC 20228.
Sources
[1] Form SSF 1604 (09/2024), Suspected Counterfeit Note Submission Form, United States Secret Service (the Official source link on this page).