Report Counterfeiting and Piracy

Please provide us with any information you may have on businesses and/ or individuals involved in counterfeiting or piracy.

The information provided will be held in strict confidence and will not be released to anyone outside the Diogenes LLC and the effected brand owner. Your contact information will not be released to anyone outside the Diogenes LLC without your consent.

Thank you for providing valuable information.
The form has many items you can fill in that will help us.
Fill in as many as possible and leave blank the things you do not know.

Subject Information

First Name:

Last Name:

Description:

Sex: Race:

 

Height: Weight:

 

Hair: Eyes:

 

Age:

Tattoos/Oddities:

Home Address:

City:

State and Zip:

State:   Zipcode:

Home Phone:

Vehicles:

Business Information

Business Name:

Business Address:

Business City:

State and Zip:

State:   Zipcode:

Phone:

Website:

Warehouse or
Storage areas:

Details of Operation:

Type of Activity
Describe types of counterfeiting/piracy activity taking place.

Brands being
Counterfeited:

Types of Items:

Quantities:

Type of Operation:

Other Details:

Your Contact Information (Optional)

First Name:

Last Name:

Phone:

Email:

 

May we contact you? 

 

Best Time to contact you: 

Thank you for taking the time to provide this information.

Please click below to submit.