Allegation of Counterfeiting and Intellectual Piracy

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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
Other Identifiers
Payment
Means of payment
Commodity
Types of commodities involved
Description of Incident
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Additional Information
Additional Information (continued)
Witness/Victim information Are there witnesses or other victims to this crime? If yes, please provide names, addresses, phone numbers, email addresses, and/or websites of where they can be found (optional).
WITNESS OR VICTIM 1
WITNESS OR VICTIM 2
ADDITIONAL INFORMATION (Continued)
Crime reporting 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).
Organization Information Provide the specific name of each organization, contact name, contact phone number, email address, date reported, and report number (if known)
Organization 1
Date Reported
/ /  
Organization 2
Date Reported
/ /  
Have Documents Do you have pertinent documents/correspondence in paper or electronic form? *Original documents should be retained for use by law enforcement agencies*


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For Industry Use
Entities Entities (Persons or Businesses) engaged in production, transportation, distribution or sale of counterfeit goods, foreign or domestic (Manufacturers, Shippers, Trading Companies, Freight Forwarders, Importers, Brokers, Individuals, etc.), or information regarding specific shipments.
Entities subject to Cease & Desist letters, Suits, Arrests, Prosecutions, etc., foreign or domestic
Seizures executed overseas by foreign Customs or Law Enforcement and the shipping or manifest information associated with those seizures
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

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.