Submit a request – LocalcoinATM

Please choose your issue below

Your email address

Initial Request Ticket ID(optional)

Subject

Description

Please enter the details of your request. A member of our support staff will respond as soon as possible.

Your first and last name

Your date of birth

Please use the format: yyyy-mm-dd

Your phone number

Please use the format: [country code][phone number]. EX: +14161112222 / +61411222333

Country of Residence

Pick which country you reside in

Enter your current home address

ex: 123 Main Street Toronto ON M4B 1B3

Were you asked to use a phone number that was not yours at the Bitcoin ATM?

Please enter all phone numbers used at the Bitcoin ATM

Please use the format: [country code][phone number]. EX: +14161112222 / +61411222333

Do you have any Localcoin Transaction IDs?

Transaction IDs can be found on receipts and follow the format: RXXXXX

List all Localcoin Transaction IDs you have(optional)

Transaction IDs follow the format: RXXXXX

How were you initially contacted?

Select all forms of communication used during this scam.

Were you instructed to go to the machine?

What is the name of this person / organization who instructed you to go to the machine?

What is your relation to this person / organization who instructed you to go to the machine?

Please provide the phone number they contacted you from(optional)

Please use the format: [country code][phone number]. EX: +14161112222 / +61411222333

Please provide the email they used to contact you(optional)

Enter the email that was used to instruct you to go to the Bitcoin ATM? Enter: "na@email.com" if no email was used

Please provide any other contact information for this person

What best categorizes your reason for using the Bitcoin ATM?

Select all that apply

Have you reported this scam to any other organizations/agencies? (CAFC / Local Police / RCMP)

Please include the name of the organization(s)/agency(s) and the report number(s)

Please give a brief summary of what occurred and how this scam operated

Please include any websites, applications, social media platforms, and/or forms of communication used.

Attachments(optional)

Add file or drop files here