Customs Fraud Information
  Report Form


Name of the company you believe is committing fraud against the government?

Where is the company located?

Is the company the:

Importer of record

Exporter (other than manufacturer)

Supplier to manufacturer (if textile or apparel)

Other       
     

Nature of the fraud:

Misclassification

Transshipment of goods subject to antidumping or 
       countervaluing duty order

Transshipment of goods to obtain reduced duties under
       NAFTA, etc.

Transshipment of goods to avoid quotas

Using or supplying non-qualifying fiber, yarn, fabric or
       finishing for textile or apparel imports

Describe the fraud:

Describe how you learned about the fraud:

Do you have documents showing the fraud?  Yes No

Your contact information:

Name:

Phone:

Email:  

The submission of this information to The Cullen Law Firm does not create an attorney-client relationship or a commitment that The Cullen Law Firm will represent you in a False Claims Act case. The Cullen Law Firm will review this information for the purpose of determining the merits of your allegation. If we determine that your allegations do have merit and decide to represent you, we will ask you to sign a formal representation letter. Any information that you submit for our evaluation will be treated as confidential.

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