Kevin a Costa Crime Complaint Center

Crime Complaint Center

9167612128

8250 christian ln

Complaint Referral Form
Internet Crime Complaint Center

Thank you for submitting your complaint to the IC3. Please save or print a copy for your records. This is the only time you will have to make a copy of your complaint.

Victim Information
Financial Transaction(s)


Description of Incident
Which of the following were used in this incident? (Check all that apply.)

Law enforcement or regulatory agencies may desire copies of pertinent documents or other evidence regarding your complaint.

Originals should be retained for use by law enforcement agencies.

Information About The Subject(s) Who Victimized You
Other Information
Who Filed the Complaint
Digital Signature
By digitally signing this document, I affirm that the information I provided is true and accurate to the best of my knowledge. I understand that providing false information could make me subject to fine, imprisonment, or both. (Title 18, U.S. Code, Section 1001)

Thank you for submitting your complaint to the IC3. Please save or print a copy for your records. This is the only time you will have to make a copy of your complaint.