Crime Report Involving U.S. Citizen Victim

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First and Last Name of the U.S. Citizen Involved:*

(Please put “Anonymous” if you do not wish to provide your name.)
Date of Birth
E-mail Address:
Phone Number:
Are you visiting or residing in Argentina?*
Location of the Crime:
(minimum city and province)
Type of Crime:*
Detailed Description of the Crime:*
Were other U.S. citizens involved?*
If yes, how many?
If yes, please provide names and contact information.
(Optional)
Have you previously reported this crime to the U.S. Embassy?*
Captcha

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