Aberdeen Police Department
210 E Market Street
Aberdeen, WA. 98520
360-533-3180 360-533-4786 fax
For official use only:
SR#: __________________
EMPLOYMENT FRAUD REPORTING
For Aberdeen residents and employees of businesses within the City of Aberdeen. Upon
completing form, email to records@aberdeenwa.gov (or) mail to: 210 E. Market Street,
Aberdeen WA 98520
RCW 9.35 .020.1 (Identity Theft): No person may knowingly obtain, possess, use, or transfer a means of identification or
financial information of another person, living or dead, with the intent to commit, or to aid or abet, any crime.
DATE:
LAST NAME*: FIRST NAME*: MIDDLE NAME:
BIRTHDATE*:
ADDRESS (physical address/city/state)*:
PHONE NUMBER*:
EMAIL:
*= required information
BRIEF SUMMARY OF HOW YOU BECAME AWARE OF THE FRAUD:
KNOWN SUSPECT? YES NO
If yes, provide why and how you believe this person(s) is a suspect and their name and as much information you
have available about them.