NCUA’s Fraud Hotline gives credit union employees and consumers the ability to share their fraud concerns associated with insider activities by current or former credit union employees, directors, or committee members (such as supervisory committee, audit committee, credit committee, etc.) If you suspect fraudulent activity at your credit union, you can use this form to share your concerns with NCUA or you can call 800.827.9650.Consumers with a complaint concerning accounts or loans at a federally insured credit union should contact the NCUA’s Consumer Assistance Center.Questions marked with * are required. 1. Are you comfortable reporting your concerns under your name or would you prefer to remain anonymous? I want to remain anonymous (If you select this option, do not identify yourself below). I agree to provide my contact information to appropriate NCUA personnel and/or state supervisory personnel, as appropriate. 1a. If you are comfortable sharing your identity, please provide the following contact information: Email Phone 2. Are you (or have you ever been) a member, employee, board member, auditor, volunteer, or otherwise affiliated with the credit union? Yes No 2a. If you selected Yes above, please tell us whether you are currently involved with the credit union. Former Current 3. What is the name and location of the credit union are contacting NCUA about? Credit Union Name Credit Union Address or Location 4. In your own words, and in as much detail as possible, please tell us why you believe fraudulent conduct is happening. What have you witnessed? 5. When do you believe the fraudulent conduct began, and where did it occur? 6. What are the names of the employee(s) you believe are involved? Please add one employee name per line. 7. Have other people witnessed the same behaviors and shared their suspicions with you? Yes No 7a. If yes above, please provide the names and contact information for these individuals. Individual Contact Name 1 Individual Contact Phone Number 1 Individual Contact Email 1 Individual Contact Name 2 Individual Contact Phone Number 2 Individual Contact Email 2 Individual Contact Name 3 Individual Contact Phone Number 3 Individual Contact Email 3 8. Are you aware of any supporting documents or emails that are evidence of fraudulent conduct? Yes No 8a. If you are aware of or have evidence of fraudulent conduct, please tell us about the documents, emails, or other evidence. 9. Are you aware of any additional, relevant information that could help us? Yes No 9a. If yes, please explain. Privacy Act StatementAUTHORITY: 12 U.S.C. 1766, 1786, 1787, and 1789; 28 U.S.C. 2671-2680. Disclosure of the requested information is not mandatory.PURPOSE: To evaluate safety and soundness concerns and determine appropriate supervision plans related to fraud or other violations of the Federal Credit Union Act.ROUTINE USE(S): Information you provide may be shared with parties outside the NCUA to conduct examination and supervision activities, including other regulatory agencies, law enforcement, or as required by law. A complete list of Routine Uses is available at NCUA-13, Litigation Case Files, 75 FR 41539.EFFECTS OF NON-DISCLOSURE: Submitting a fraud tip or concern is voluntary, however insufficient details or information will prevent the NCUA from assessing potential fraud risks or taking appropriate actions.SORN: NCUA-13, Litigation Case Files, 75 FR 41539.
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