Name Email Phone Number Relationship to Citiofbooks, Inc. AuthorEmployeeVendorReaderOther if others Date of Incident Location of Incident Describe the Fraudulent Activity Please attach any supporting evidence Have you reported this to any other organization? Name of Suspect(s) Contact Information of Suspect(s) Agreement and Acknowledgment By checking this box, I confirm that all information provided is true and accurate to the best of my knowledge. I understand that Citiofbooks, Inc. will review this report and may take appropriate action, including legal measures if deemed necessary. Signature Send
