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We understand how stressful losing crypto can be. We’re here to help. Answer a few questions so we can assess your case
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1
What Happened?
What best describes your situation?
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Sent to the wrong address
Wallet hacked
Exchange scam / rug pull
Forgot private keys / seed phrase
Other (please explain):
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2
How Much Crypto Was Lost?
Approximately how much was lost?
Less than $1,000
$1,000 - $10,000
$10,000 - $50,000
$50,000+
Custom amount:
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3
Which Cryptocurrency Was Lost?
Select the cryptocurrency involved:
Bitcoin (BTC)
Ethereum (ETH)
USDT (Tether)
Binance Coin (BNB)
Other (please specify):
4
When Did This Happen?
When did you notice the loss?
Today
Within the last week
Within the last month
1-3 months ago
Over 3 months ago
5
To Which Wallet Address Was the Crypto Sent?
Paste the recipient wallet address:
6
What Was Your Own Wallet Address?
Provide the wallet address you sent the funds from:
7
Which Wallet Did You Use?
Select the wallet you used to send the funds:
MetaMask
Trust Wallet
Ledger / Trezor (Hardware Wallet)
Exchange Wallet
Other (please specify):
8
Where Did You Buy This Crypto?
Which exchange did you use to purchase this crypto?
Binance
Coinbase
Kraken
KuCoin
Other (please specify):
9
Did You Use a Centralized or Decentralized Exchange?
Was this transaction on a centralized or decentralized exchange?
Centralized (e.g., Binance, Coinbase)
Decentralized (e.g., Uniswap, PancakeSwap)
10
Do You Still Have Access to Your Wallet?
Can you log into the wallet you used?
Yes, I can access it
No, I lost access
11
Have You Contacted the Exchange or Wallet Provider?
Did you reach out to customer support?
Yes, but no response
Yes, they said they can’t help
No, I haven’t contacted them yet
12
Do You Have Transaction Proof?
Provide any transaction receipts, emails, or screenshots related to the lost funds.
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Upload field (Attach files)
13
Was This a Scam or Fraud Case?
Do you suspect fraud, phishing, or a scam?
Yes, I was scammed
No, this was a mistake
Not sure
14
Has This Been Reported to Authorities?
Did you file a report with the police, cybercrime authorities, or financial regulators?
Yes, with law enforcement
No, not yet
I need guidance on reporting
15
How Urgent Is This Case?
On a scale of 1-5, how urgent is your recovery?
1
2
3
4
5
16
Do You Own Other Crypto Assets?
How much crypto do you currently have across all wallets?
Less than $1,000
$1,000 - $10,000
$10,000 - $50,000
$50,000+
17
Are You Open to Additional Security Measures?
Would you be interested in additional security services to prevent future losses?
Yes, I need security advice
No, just recovery
18
Which Cryptocurrency Was Lost?
Select your country:
19
Contact & Final Submission
Enter your email to receive a detailed recovery assessment.
Email:
Would you like a free consultation call?
Yes
No
20
Submission Confirmation & Next Steps
Thank you for your submission! Our experts will review your case and contact you within 24 hours.
Your Case ID: CW-123456
Next Steps:
Expect an email with your Recovery Report soon!