urlscan.io logo urlscan.io
SecurityTrails logo

app.hummingbird.co Open in urlscan Pro
2606:4700:10::ac43:251c  Public Scan

Back to summary
URL: https://app.hummingbird.co/organizations/firstbankpuertorico/tips/Referral
Submission Tags: falconsandbox
Submission: On June 28 via api from US — Scanned from DE

Form analysis 1 forms found in the DOM

#

<form action="#">
  <section class="jss47 jss50">
    <h2 class="jss31 jss54 jss32 jss55 jss33 jss56 jss29 jss30 jss53 jss52">Branch or Business Section: (Branch/BU Role)</h2>
    <div class="jss49 jss51">
      <div class="MuiFormControl-root jss59 jss64 css-13sljp9" data-testid="Submitter_input-container"><label class="MuiFormLabel-root MuiFormLabel-colorPrimary jss60 css-nzt2h8" for="eLtkC2X3oBQEdSe6Hhy7NFTP">
          <div class="jss62 jss66">
            <p>Submitter</p>
          </div>
        </label>
        <div class="jss61 jss65">
          <div class="MuiFormControl-root MuiFormControl-marginNormal MuiFormControl-fullWidth MuiTextField-root jss57 css-1u0h3mu" meta="[object Object]" data-testid="Submitter">
            <div class="MuiInputBase-root MuiOutlinedInput-root MuiInputBase-colorPrimary MuiInputBase-fullWidth MuiInputBase-formControl MuiInputBase-sizeSmall css-9aj0y4"><input aria-invalid="false"
                aria-describedby="form_helper_text_eLtkC2X3oBQEdSe6Hhy7NFTP" autocomplete="chrome-off" id="eLtkC2X3oBQEdSe6Hhy7NFTP" name="eLtkC2X3oBQEdSe6Hhy7NFTP" type="text"
                class="MuiInputBase-input MuiOutlinedInput-input MuiInputBase-inputSizeSmall css-14fnmmg" value="">
              <fieldset aria-hidden="true" class="MuiOutlinedInput-notchedOutline css-163wmzz">
                <legend class="css-ihdtdm"><span class="notranslate">​</span></legend>
              </fieldset>
            </div>
          </div>
        </div>
      </div>
      <div class="MuiFormControl-root jss59 jss71 css-13sljp9" data-testid="Employee Type _input-container"><label class="MuiFormLabel-root MuiFormLabel-colorPrimary jss60 css-nzt2h8" for="7KS8pA8gmb2pSJzFPSjMEENX"
          id="label_7KS8pA8gmb2pSJzFPSjMEENX">
          <div class="jss62 jss66">
            <p>Employee Type</p>
          </div>
        </label>
        <div class="jss61 jss72">
          <div class="MuiFormControl-root MuiFormControl-marginDense MuiTextField-root jss68 jss70 css-ffvrb6" data-testid="Employee Type " meta="[object Object]">
            <div class="MuiInputBase-root MuiOutlinedInput-root MuiInputBase-colorPrimary MuiInputBase-formControl MuiInputBase-sizeSmall jss67 jss69 css-1jii0jx">
              <div tabindex="0" role="combobox" aria-expanded="false" aria-haspopup="listbox" aria-labelledby="label_7KS8pA8gmb2pSJzFPSjMEENX mui-3" aria-describedby="form_helper_text_7KS8pA8gmb2pSJzFPSjMEENX" id="mui-3"
                class="MuiSelect-select MuiSelect-outlined MuiInputBase-input MuiOutlinedInput-input MuiInputBase-inputSizeSmall css-1sv30r7" aria-controls="mui-2">Select one</div><input aria-invalid="false" name="7KS8pA8gmb2pSJzFPSjMEENX"
                aria-hidden="true" tabindex="-1" class="MuiSelect-nativeInput css-1k3x8v3" autocomplete="chrome-off" value=""><svg class="MuiSvgIcon-root MuiSvgIcon-fontSizeMedium MuiSelect-icon MuiSelect-iconOutlined css-sqbrkf" focusable="false"
                aria-hidden="true" viewBox="0 0 24 24" data-testid="ArrowDropDownIcon">
                <path d="m7 10 5 5 5-5z"></path>
              </svg>
              <fieldset aria-hidden="true" class="MuiOutlinedInput-notchedOutline css-163wmzz">
                <legend class="css-ihdtdm"><span class="notranslate">​</span></legend>
              </fieldset>
            </div>
          </div>
        </div>
      </div>
    </div>
  </section>
  <section class="jss47 jss78">
    <h2 class="jss31 jss81 jss32 jss82 jss33 jss83 jss29 jss30 jss80 jss52">A. Customer Information</h2>
    <div class="jss49 jss79">
      <div class="MuiFormControl-root jss59 jss86 css-13sljp9" data-testid="Is Subpoena_input-container"><label class="MuiFormLabel-root MuiFormLabel-colorPrimary jss60 css-nzt2h8" for="49x1CGw3YRm9xMgnwEnfFxJL" id="label_49x1CGw3YRm9xMgnwEnfFxJL">
          <div class="jss62 jss66">
            <p>Is Subpoena</p>
          </div>
        </label>
        <div class="jss61 jss87">
          <div class="MuiFormControl-root MuiFormControl-marginDense MuiTextField-root jss68 jss85 css-ffvrb6" data-testid="Is Subpoena" meta="[object Object]">
            <div class="MuiInputBase-root MuiOutlinedInput-root MuiInputBase-colorPrimary MuiInputBase-formControl MuiInputBase-sizeSmall jss67 jss84 css-1jii0jx">
              <div tabindex="0" role="combobox" aria-expanded="false" aria-haspopup="listbox" aria-labelledby="label_49x1CGw3YRm9xMgnwEnfFxJL mui-5" aria-describedby="form_helper_text_49x1CGw3YRm9xMgnwEnfFxJL" id="mui-5"
                class="MuiSelect-select MuiSelect-outlined MuiInputBase-input MuiOutlinedInput-input MuiInputBase-inputSizeSmall css-1sv30r7" aria-controls="mui-4">Select one</div><input aria-invalid="false" name="49x1CGw3YRm9xMgnwEnfFxJL"
                aria-hidden="true" tabindex="-1" class="MuiSelect-nativeInput css-1k3x8v3" autocomplete="chrome-off" value=""><svg class="MuiSvgIcon-root MuiSvgIcon-fontSizeMedium MuiSelect-icon MuiSelect-iconOutlined css-sqbrkf" focusable="false"
                aria-hidden="true" viewBox="0 0 24 24" data-testid="ArrowDropDownIcon">
                <path d="m7 10 5 5 5-5z"></path>
              </svg>
              <fieldset aria-hidden="true" class="MuiOutlinedInput-notchedOutline css-163wmzz">
                <legend class="css-ihdtdm"><span class="notranslate">​</span></legend>
              </fieldset>
            </div>
          </div>
        </div>
      </div>
      <div class="MuiFormControl-root jss59 jss90 css-13sljp9" data-testid="Customer Information_input-container"><label class="MuiFormLabel-root MuiFormLabel-colorPrimary jss60 css-nzt2h8" for="mVz8aaVARQTrCvrKrMHgEmg4"
          id="label_mVz8aaVARQTrCvrKrMHgEmg4">
          <div class="jss62 jss66">
            <p>Customer Information</p>
          </div>
          <div class="jss63 jss66">
            <p>(optional)</p>
          </div>
        </label>
        <div class="jss61 jss91">
          <div class="MuiFormControl-root MuiFormControl-marginDense MuiTextField-root jss68 jss89 css-ffvrb6" data-testid="Customer Information" meta="[object Object]">
            <div class="MuiInputBase-root MuiOutlinedInput-root MuiInputBase-colorPrimary MuiInputBase-formControl MuiInputBase-sizeSmall jss67 jss88 css-1jii0jx">
              <div tabindex="0" role="combobox" aria-expanded="false" aria-haspopup="listbox" aria-labelledby="label_mVz8aaVARQTrCvrKrMHgEmg4 mui-7" aria-describedby="form_helper_text_mVz8aaVARQTrCvrKrMHgEmg4" id="mui-7"
                class="MuiSelect-select MuiSelect-outlined MuiInputBase-input MuiOutlinedInput-input MuiInputBase-inputSizeSmall css-1sv30r7" aria-controls="mui-6">Select one</div><input aria-invalid="false" name="mVz8aaVARQTrCvrKrMHgEmg4"
                aria-hidden="true" tabindex="-1" class="MuiSelect-nativeInput css-1k3x8v3" autocomplete="chrome-off" value=""><svg class="MuiSvgIcon-root MuiSvgIcon-fontSizeMedium MuiSelect-icon MuiSelect-iconOutlined css-sqbrkf" focusable="false"
                aria-hidden="true" viewBox="0 0 24 24" data-testid="ArrowDropDownIcon">
                <path d="m7 10 5 5 5-5z"></path>
              </svg>
              <fieldset aria-hidden="true" class="MuiOutlinedInput-notchedOutline css-163wmzz">
                <legend class="css-ihdtdm"><span class="notranslate">​</span></legend>
              </fieldset>
            </div>
          </div>
        </div>
      </div>
    </div>
  </section>
  <section class="jss47 jss92">
    <h2 class="jss31 jss95 jss32 jss96 jss33 jss97 jss29 jss30 jss94 jss52">B. Fill if suspect is other than the customer; Who conducts suspicious activity?</h2>
    <div class="jss49 jss93">
      <div class="MuiFormControl-root jss59 jss100 css-13sljp9" data-testid="Are there any additional suspects/victims?_input-container"><label class="MuiFormLabel-root MuiFormLabel-colorPrimary jss60 css-nzt2h8" for="o8TB2EoYJCyVLT4gvswW37Nk"
          id="label_o8TB2EoYJCyVLT4gvswW37Nk">
          <div class="jss62 jss66">
            <p>Are there any additional suspects/victims?</p>
          </div>
          <div class="jss63 jss66">
            <p>(optional)</p>
          </div>
        </label>
        <div class="jss61 jss101">
          <div class="MuiFormControl-root MuiFormControl-marginDense MuiTextField-root jss68 jss99 css-ffvrb6" data-testid="Are there any additional suspects/victims?" meta="[object Object]">
            <div class="MuiInputBase-root MuiOutlinedInput-root MuiInputBase-colorPrimary MuiInputBase-formControl MuiInputBase-sizeSmall jss67 jss98 css-1jii0jx">
              <div tabindex="0" role="combobox" aria-expanded="false" aria-haspopup="listbox" aria-labelledby="label_o8TB2EoYJCyVLT4gvswW37Nk mui-9" aria-describedby="form_helper_text_o8TB2EoYJCyVLT4gvswW37Nk" id="mui-9"
                class="MuiSelect-select MuiSelect-outlined MuiInputBase-input MuiOutlinedInput-input MuiInputBase-inputSizeSmall css-1sv30r7" aria-controls="mui-8">Select one</div><input aria-invalid="false" name="o8TB2EoYJCyVLT4gvswW37Nk"
                aria-hidden="true" tabindex="-1" class="MuiSelect-nativeInput css-1k3x8v3" autocomplete="chrome-off" value=""><svg class="MuiSvgIcon-root MuiSvgIcon-fontSizeMedium MuiSelect-icon MuiSelect-iconOutlined css-sqbrkf" focusable="false"
                aria-hidden="true" viewBox="0 0 24 24" data-testid="ArrowDropDownIcon">
                <path d="m7 10 5 5 5-5z"></path>
              </svg>
              <fieldset aria-hidden="true" class="MuiOutlinedInput-notchedOutline css-163wmzz">
                <legend class="css-ihdtdm"><span class="notranslate">​</span></legend>
              </fieldset>
            </div>
          </div>
        </div>
      </div>
    </div>
  </section>
  <section class="jss47 jss102">
    <h2 class="jss31 jss105 jss32 jss106 jss33 jss107 jss29 jss30 jss104 jss52">C. Suspicious Activity Description</h2>
    <div class="jss49 jss103">
      <div class="MuiFormControl-root jss59 jss108 css-13sljp9" data-testid="Account Number(s)_input-container"><label class="MuiFormLabel-root MuiFormLabel-colorPrimary jss60 css-nzt2h8" for="u6yRRVnvLWsNM4pqUKSUwwdF">
          <div class="jss62 jss66">
            <p>Account Number(s)</p>
          </div>
          <div class="jss63 jss66">
            <p>(optional)</p>
          </div>
        </label>
        <div class="jss61 jss109">
          <div class="MuiFormControl-root MuiFormControl-marginNormal MuiFormControl-fullWidth MuiTextField-root jss57 css-1u0h3mu" meta="[object Object]" data-testid="Account Number(s)">
            <div class="MuiInputBase-root MuiOutlinedInput-root MuiInputBase-colorPrimary MuiInputBase-fullWidth MuiInputBase-formControl MuiInputBase-sizeSmall MuiInputBase-multiline css-1y32r5c"><textarea aria-invalid="false"
                aria-describedby="form_helper_text_u6yRRVnvLWsNM4pqUKSUwwdF" autocomplete="chrome-off" id="u6yRRVnvLWsNM4pqUKSUwwdF" name="u6yRRVnvLWsNM4pqUKSUwwdF"
                class="MuiInputBase-input MuiOutlinedInput-input MuiInputBase-inputMultiline MuiInputBase-inputSizeSmall css-1jphdx2" style="height: 200px;"></textarea><textarea aria-hidden="true"
                class="MuiInputBase-input MuiOutlinedInput-input MuiInputBase-inputMultiline MuiInputBase-inputSizeSmall css-1jphdx2" readonly="" tabindex="-1"
                style="visibility: hidden; position: absolute; overflow: hidden; height: 0px; top: 0px; left: 0px; transform: translateZ(0px); padding-top: 0px; padding-bottom: 0px; width: 692px;"></textarea>
              <fieldset aria-hidden="true" class="MuiOutlinedInput-notchedOutline css-163wmzz">
                <legend class="css-ihdtdm"><span class="notranslate">​</span></legend>
              </fieldset>
            </div>
          </div>
        </div>
      </div>
      <div class="MuiFormControl-root jss59 jss112 css-13sljp9" data-testid="Activity Type (Check all that apply. At least one category required)_input-container"><label class="MuiFormLabel-root MuiFormLabel-colorPrimary jss60 css-nzt2h8"
          for="XLsLVqnmK3U3xcfvZNafTpmF" id="label_XLsLVqnmK3U3xcfvZNafTpmF">
          <div class="jss62 jss66">
            <p>Activity Type (Check all that apply. At least one category required)</p>
          </div>
          <div class="jss63 jss66">
            <p>(optional)</p>
          </div>
        </label>
        <div class="jss61 jss113">
          <div class="MuiFormControl-root MuiFormControl-marginDense MuiTextField-root jss68 jss111 css-ffvrb6" data-testid="Activity Type (Check all that apply. At least one category required)" meta="[object Object]">
            <div class="MuiInputBase-root MuiOutlinedInput-root MuiInputBase-colorPrimary MuiInputBase-formControl MuiInputBase-sizeSmall jss67 jss110 css-1jii0jx">
              <div tabindex="0" role="combobox" aria-expanded="false" aria-haspopup="listbox" aria-labelledby="label_XLsLVqnmK3U3xcfvZNafTpmF mui-11" aria-describedby="form_helper_text_XLsLVqnmK3U3xcfvZNafTpmF" id="mui-11"
                class="MuiSelect-select MuiSelect-outlined MuiSelect-multiple MuiInputBase-input MuiOutlinedInput-input MuiInputBase-inputSizeSmall css-1sv30r7" aria-controls="mui-10"><span class="notranslate">​</span></div><input
                aria-invalid="false" name="XLsLVqnmK3U3xcfvZNafTpmF" aria-hidden="true" tabindex="-1" class="MuiSelect-nativeInput css-1k3x8v3" autocomplete="chrome-off" value=""><svg
                class="MuiSvgIcon-root MuiSvgIcon-fontSizeMedium MuiSelect-icon MuiSelect-iconOutlined css-sqbrkf" focusable="false" aria-hidden="true" viewBox="0 0 24 24" data-testid="ArrowDropDownIcon">
                <path d="m7 10 5 5 5-5z"></path>
              </svg>
              <fieldset aria-hidden="true" class="MuiOutlinedInput-notchedOutline css-163wmzz">
                <legend class="css-ihdtdm"><span class="notranslate">​</span></legend>
              </fieldset>
            </div>
          </div>
        </div>
      </div>
      <div class="MuiFormControl-root jss59 jss115 css-13sljp9" data-testid="From _input-container"><label class="MuiFormLabel-root MuiFormLabel-colorPrimary jss60 css-nzt2h8" for="tJ6Dt4yT5rfbtN7xvYwp3nSF">
          <div class="jss62 jss66">
            <p>From</p>
          </div>
        </label>
        <div class="jss61 jss116">
          <div class="MuiFormControl-root MuiTextField-root jss114 css-165mck1" aria-describedby="form_helper_text_tJ6Dt4yT5rfbtN7xvYwp3nSF" data-testid="From ">
            <div class="MuiInputBase-root MuiOutlinedInput-root MuiInputBase-colorPrimary MuiInputBase-formControl MuiInputBase-sizeSmall MuiInputBase-adornedEnd Mui-readOnly MuiInputBase-readOnly css-uijwe2"><input aria-invalid="false"
                autocomplete="off" id="tJ6Dt4yT5rfbtN7xvYwp3nSF" name="tJ6Dt4yT5rfbtN7xvYwp3nSF" placeholder="MM/DD/YYYY" readonly="" type="text" aria-label="Choose date" inputmode="text"
                class="MuiInputBase-input MuiOutlinedInput-input MuiInputBase-inputSizeSmall MuiInputBase-inputAdornedEnd Mui-readOnly MuiInputBase-readOnly css-1pc6mdk" value="">
              <fieldset aria-hidden="true" class="MuiOutlinedInput-notchedOutline css-163wmzz">
                <legend class="css-ihdtdm"><span class="notranslate">​</span></legend>
              </fieldset>
            </div>
          </div>
        </div>
      </div>
      <div class="MuiFormControl-root jss59 jss117 css-13sljp9" data-testid="To_input-container"><label class="MuiFormLabel-root MuiFormLabel-colorPrimary jss60 css-nzt2h8" for="tGN8Hzdr4zNucRgoTzVcQuwK">
          <div class="jss62 jss66">
            <p>To</p>
          </div>
        </label>
        <div class="jss61 jss118">
          <div class="MuiFormControl-root MuiTextField-root jss114 css-165mck1" aria-describedby="form_helper_text_tGN8Hzdr4zNucRgoTzVcQuwK" data-testid="To">
            <div class="MuiInputBase-root MuiOutlinedInput-root MuiInputBase-colorPrimary MuiInputBase-formControl MuiInputBase-sizeSmall MuiInputBase-adornedEnd Mui-readOnly MuiInputBase-readOnly css-uijwe2"><input aria-invalid="false"
                autocomplete="off" id="tGN8Hzdr4zNucRgoTzVcQuwK" name="tGN8Hzdr4zNucRgoTzVcQuwK" placeholder="MM/DD/YYYY" readonly="" type="text" aria-label="Choose date" inputmode="text"
                class="MuiInputBase-input MuiOutlinedInput-input MuiInputBase-inputSizeSmall MuiInputBase-inputAdornedEnd Mui-readOnly MuiInputBase-readOnly css-1pc6mdk" value="">
              <fieldset aria-hidden="true" class="MuiOutlinedInput-notchedOutline css-163wmzz">
                <legend class="css-ihdtdm"><span class="notranslate">​</span></legend>
              </fieldset>
            </div>
          </div>
        </div>
      </div>
      <div class="MuiFormControl-root jss59 jss119 css-13sljp9" data-testid="Amount ($)_input-container"><label class="MuiFormLabel-root MuiFormLabel-colorPrimary jss60 css-nzt2h8" for="2A6KGN1EtANhBMPa3jNGfSvZ">
          <div class="jss62 jss66">
            <p>Amount ($)</p>
          </div>
          <div class="jss63 jss66">
            <p>(optional)</p>
          </div>
        </label>
        <div class="jss61 jss120">
          <div class="MuiFormControl-root MuiFormControl-marginNormal MuiFormControl-fullWidth MuiTextField-root jss57 css-1u0h3mu" meta="[object Object]" data-testid="Amount ($)">
            <div class="MuiInputBase-root MuiOutlinedInput-root MuiInputBase-colorPrimary MuiInputBase-fullWidth MuiInputBase-formControl MuiInputBase-sizeSmall css-9aj0y4"><input aria-invalid="false"
                aria-describedby="form_helper_text_2A6KGN1EtANhBMPa3jNGfSvZ" autocomplete="chrome-off" id="2A6KGN1EtANhBMPa3jNGfSvZ" name="2A6KGN1EtANhBMPa3jNGfSvZ" type="text"
                class="MuiInputBase-input MuiOutlinedInput-input MuiInputBase-inputSizeSmall css-14fnmmg" value="">
              <fieldset aria-hidden="true" class="MuiOutlinedInput-notchedOutline css-163wmzz">
                <legend class="css-ihdtdm"><span class="notranslate">​</span></legend>
              </fieldset>
            </div>
          </div>
        </div>
      </div>
      <div class="MuiFormControl-root jss59 jss121 css-13sljp9" data-testid="Describe suspicious activity_input-container"><label class="MuiFormLabel-root MuiFormLabel-colorPrimary jss60 css-nzt2h8" for="aHFxU1kv2ySFoiRQrtytYeD6">
          <div class="jss62 jss66">
            <p>Describe suspicious activity</p>
          </div>
          <div class="jss63 jss66">
            <p>(optional)</p>
          </div>
        </label>
        <div class="jss61 jss122">
          <div class="MuiFormControl-root MuiFormControl-marginNormal MuiFormControl-fullWidth MuiTextField-root jss57 css-1u0h3mu" meta="[object Object]" data-testid="Describe suspicious activity">
            <div class="MuiInputBase-root MuiOutlinedInput-root MuiInputBase-colorPrimary MuiInputBase-fullWidth MuiInputBase-formControl MuiInputBase-sizeSmall MuiInputBase-multiline css-1y32r5c"><textarea aria-invalid="false"
                aria-describedby="form_helper_text_aHFxU1kv2ySFoiRQrtytYeD6" autocomplete="chrome-off" id="aHFxU1kv2ySFoiRQrtytYeD6" name="aHFxU1kv2ySFoiRQrtytYeD6"
                class="MuiInputBase-input MuiOutlinedInput-input MuiInputBase-inputMultiline MuiInputBase-inputSizeSmall css-1jphdx2" style="height: 200px;"></textarea><textarea aria-hidden="true"
                class="MuiInputBase-input MuiOutlinedInput-input MuiInputBase-inputMultiline MuiInputBase-inputSizeSmall css-1jphdx2" readonly="" tabindex="-1"
                style="visibility: hidden; position: absolute; overflow: hidden; height: 0px; top: 0px; left: 0px; transform: translateZ(0px); padding-top: 0px; padding-bottom: 0px; width: 692px;"></textarea>
              <fieldset aria-hidden="true" class="MuiOutlinedInput-notchedOutline css-163wmzz">
                <legend class="css-ihdtdm"><span class="notranslate">​</span></legend>
              </fieldset>
            </div>
          </div>
        </div>
      </div>
    </div>
  </section>
  <section class="jss47 jss123">
    <h2 class="jss31 jss126 jss32 jss127 jss33 jss128 jss29 jss30 jss125 jss52">Supporting Documentation</h2>
    <div class="jss49 jss124">
      <div class="MuiFormControl-root jss59 jss136 css-13sljp9" data-testid="Please Upload Suppor_input-container"><label class="MuiFormLabel-root MuiFormLabel-colorPrimary jss60 css-nzt2h8" for="1HegvqGQ7bgDaRKxqsiMi7z3">
          <div class="jss62 jss66">
            <p>Please Upload Supporting Documents</p>
          </div>
          <div class="jss63 jss66">
            <p>(optional)</p>
          </div>
        </label>
        <div class="jss61 jss137">
          <div>
            <div class="uppy-Root" dir="ltr">
              <div class="uppy-Dashboard uppy-Dashboard--animateOpenClose uppy-Dashboard--modal uppy-Dashboard--isInnerWrapVisible" data-uppy-theme="light" data-uppy-num-acquirers="0" data-uppy-drag-drop-supported="true" aria-hidden="true"
                aria-disabled="false" aria-label="File Uploader Window (Press escape to close)">
                <div aria-hidden="true" class="uppy-Dashboard-overlay" tabindex="-1"></div>
                <div class="uppy-Dashboard-inner" aria-modal="true" role="dialog"><button class="uppy-u-reset uppy-Dashboard-close" type="button" aria-label="Close Modal" title="Close Modal"><span aria-hidden="true">×</span></button>
                  <div class="uppy-Dashboard-innerWrap">
                    <div class="uppy-Dashboard-dropFilesHereHint">Drop your files here</div>
                    <div class="uppy-Dashboard-AddFiles"><input class="uppy-Dashboard-input" hidden="" aria-hidden="true" tabindex="-1" type="file" name="files[]" multiple="" accept=""><input class="uppy-Dashboard-input" hidden="" aria-hidden="true"
                        tabindex="-1" webkitdirectory="" type="file" name="files[]" multiple="" accept="">
                      <div class="uppy-Dashboard-AddFiles-title">Drop files here or <button type="button" class="uppy-u-reset uppy-Dashboard-browse" data-uppy-super-focusable="true">browse files</button></div>
                      <div class="uppy-Dashboard-AddFiles-info"></div>
                    </div>
                    <div class="uppy-Dashboard-progressindicators">
                      <div class="uppy-StatusBar is-waiting" aria-hidden="true">
                        <div class="uppy-StatusBar-progress" role="progressbar" aria-label="0%" aria-valuetext="0%" aria-valuemin="0" aria-valuemax="100" aria-valuenow="0" style="width: 0%;"></div>
                        <div class="uppy-StatusBar-actions"></div>
                      </div>
                      <div class="uppy uppy-Informer"><span></span></div>
                    </div>
                  </div>
                </div>
              </div>
            </div>
          </div><button
            class="MuiButtonBase-root MuiButton-root MuiButton-outlined MuiButton-outlinedPrimary MuiButton-sizeMedium MuiButton-outlinedSizeMedium MuiButton-colorPrimary MuiButton-root MuiButton-outlined MuiButton-outlinedPrimary MuiButton-sizeMedium MuiButton-outlinedSizeMedium MuiButton-colorPrimary jss133 notranslate css-1lbnt0v"
            tabindex="0" type="button" data-testid="button_upload"><svg class="MuiSvgIcon-root MuiSvgIcon-fontSizeMedium css-c4frzw" focusable="false" aria-hidden="true" viewBox="0 0 24 24" data-testid="ControlPointIcon">
              <path d="M13 7h-2v4H7v2h4v4h2v-4h4v-2h-4zm-1-5C6.49 2 2 6.49 2 12s4.49 10 10 10 10-4.49 10-10S17.51 2 12 2m0 18c-4.41 0-8-3.59-8-8s3.59-8 8-8 8 3.59 8 8-3.59 8-8 8"></path>
            </svg>Upload documents<span class="MuiTouchRipple-root css-w0pj6f"></span></button>
          <ul class="MuiList-root MuiList-padding css-1ontqvh"><span class="jss32 jss140 jss33 jss141 jss34 jss29 jss30 jss138 jss134">No documents have been uploaded</span></ul>
        </div>
      </div>
    </div>
  </section>
  <div class="MuiBox-root css-e64tsz"><button
      class="MuiButtonBase-root MuiButton-root MuiButton-contained MuiButton-containedPrimary MuiButton-sizeMedium MuiButton-containedSizeMedium MuiButton-colorPrimary MuiButton-root MuiButton-contained MuiButton-containedPrimary MuiButton-sizeMedium MuiButton-containedSizeMedium MuiButton-colorPrimary  css-ztuwzi"
      tabindex="0" type="submit" data-testid="button_Submit">Submit<span class="MuiTouchRipple-root css-w0pj6f"></span></button></div>
</form>

Text Content

Powered By


REFERRAL

Please use this form to report suspicious activity you have seen.


BRANCH OR BUSINESS SECTION: (BRANCH/BU ROLE)

Submitter



Employee Type

Select one


A. CUSTOMER INFORMATION

Is Subpoena

Select one

Customer Information

(optional)

Select one


B. FILL IF SUSPECT IS OTHER THAN THE CUSTOMER; WHO CONDUCTS SUSPICIOUS ACTIVITY?

Are there any additional suspects/victims?

(optional)

Select one


C. SUSPICIOUS ACTIVITY DESCRIPTION

Account Number(s)

(optional)



Activity Type (Check all that apply. At least one category required)

(optional)



From



To



Amount ($)

(optional)



Describe suspicious activity

(optional)




SUPPORTING DOCUMENTATION

Please Upload Supporting Documents

(optional)

×
Drop your files here
Drop files here or browse files


Upload documents
No documents have been uploaded

Submit