Report IP Theft

This form is used to report violations of intellectual property rights, including counterfeiting Report IP Theft and piracy, to the National IPR Coordination Center.

Report IP Theft

The National Intellectual Property Rights Coordination Center (IPR Center) is the U.S. government's clearinghouse for investigations

into counterfeiting and piracy — crimes that threaten the public's health and safety, the U.S. economy, and our war fighters.

The IPR Center encourages members of the general public, industry, trade associations, law enforcement and government agencies to

report potential violations of intellectual property rights through this website. The information you provide will be reviewed promptly by

IPR Center staff and disseminated for appropriate investigative response and tactical use to IPR Center partners.

Completion of this referral form is voluntary. The IPR Center accepts online complaints from actual victims as well as from third parties

to the victims. While providing your contact information is voluntary, the IPR Center can best process a complaint if it receives accurate

information in the form and has the ability to contact the complainant to clarify information that was provided, when necessary. There

are various resources, such as the IPR Center’s pamphlet Reporting Allegations of Intellectual Property Theft and the Department

of Justice, Computer Crime and Intellectual Property Section’s publication Reporting Intellectual Property Crime: A Guide for

Victims of Counterfeiting, Copyright Infringement, and Theft of Trade Secrets that may aid in reporting violations of intellectual

property rights and assist you in completing this form. Please provide as much of the following information as possible to assist us in

investigating the report.

Information about the Individual/Business that violated intellectual property rights:

Business Name Business name for the business that violated intellectual property

Full Name Full name of individual or business that violated intellectual property

Location Any location information (address, state, country) of individual or business that violated intellectual property

Phone Number Phone number of individual or business that violated intellectual property

Email Address Email address of individual or business that violated intellectual property

Other Identifiers about the Individual/Business that violated intellectual property rights:

Web Site

IP Address

Social Media Site

Social Media User Account

Type of Commodity:

Does your complaint involve a government contract?

yes no

What type of commodity was involved? Select applicable commodities

Other/Miscellaneious (Specify)

Description of the Incident:

Description of the Incident Describe in your own words how you have been victimized or how intellectual property rights were violated. (Be specific. Include date(s) of transaction(s), a description of any items that were not delivered or were counterfeited, any transaction numbers, and any other pertinent information that helps to explain the violation. Also if you received anything by U.S. Mail or any other delivery service, specifically describe the envelope, by the date, time, city and zip code shown on the stamp cancellation postmark).

Organizations

Have you already reported this crime to any law enforcement or government agencies? If yes, please indicate the organizations/ individuals that you contacted (select all that apply)

Other (Specify Other)

Do you have pertinent documents/correspondence in paper or electronic form? *Original documents should be retained for use by law enforcement agencies*

yes no

Contact Information:

Your report will remain anonymous unless you choose to identify yourself; however, please note that failure to do so may limit or otherwise compromise the IPR Center and its partners’ efforts to conduct an investigation based on your information. If you agree to be contacted with follow-up questions, if necessary, please enter your contact information:

Full Name Full name of individual to contact

Business Name Business name of individual to contact

Phone Number Phone number of individual to contact

Email Address Email address of individual to contact

WARNING REGARDING KNOWINGLY PROVIDING FALSE INFORMATION

The information I've provided on this form is correct to the best of my knowledge. I understand that knowingly and willfully providing false information could subject me to fine, imprisonment, or both. (Title 18, U.S.C. § 1001).

I understand

Privacy Act Statement - IPR Center Reporting Allegations of Counterfeiting and Intellectual Piracy Form

Authority: 5 U.S.C. § 301; 5 U.S.C. § 552a; 6 U.S.C. § 203; 8 U.S.C. § 1103; 19 U.S.C. § 1589a; 44 U.S.C. § 3101 authorize U.S. Immigration and Customs Enforcement (ICE) to collect your information requested in this web form.

Purpose(s): The information being requested is collected and controlled by the ICE-led National Intellectual Property Rights Coordination Center (IPR Center) for the purpose of evaluating and further developing information in support of law enforcement investigations. The IPR Center may also use your information to contact you for additional and/or clarifying information about your report.

Routine Use(s): Your information and the information you provide regarding suspicious or suspected criminal activity and/or violation of law may be shared internally within the Department of Homeland Security (DHS) for any appropriate law enforcement action. The information you provide may also be shared with other federal, state, local, tribal, territorial, or foreign agencies in order to refer reports of suspicious activity, tips, potential violations of law and other relevant information to those agencies with appropriate jurisdiction, authorities, and/or need-to-know concerning the matter(s) you report. The information you provide may also be disclosed as generally permitted under 5 U.S.C. § 552a(b) of the Privacy Act of 1974, as amended, and pursuant to the routine uses published in the DHS system of records notice, DHS/ICE-009 External Investigations.

Disclosure: Use of this form and the disclosure of your contact information when submitting this form are voluntary. Should you wish to submit an anonymous report verbally, you may call the IPR Center Hotline at 1-866-IPR-2060 or 1-866-477-2060.

Public Reporting Burden

U.S. Immigration and Customs Enforcement is collecting this information as a part of its agency mission under the Department of Homeland Security. The estimated average time to review the instructions, search existing data sources, gather and maintain the data needed and completing and reviewing this collection of information is 30 minutes (.5 hours) per response. An agency may not conduct or sponsor, and a person is not required to respond to, an information collection unless it displays a currently valid OMB Control Number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to U.S. Immigration and customs Enforcement, Forms Management Office, 801 I Street NW, Washington D.C. 20536-5800. Do not mail your completed form to this address.

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National Intellectual Property Rights Coordination Center

Report IP Theft

Information about the Individual/Business that violated intellectual property rights:

Other Identifiers about the Individual/Business that violated intellectual property rights:

Type of Commodity:

Description of the Incident:

Organizations

Contact Information:

WARNING REGARDING KNOWINGLY PROVIDING FALSE INFORMATION