Waiting for wallet

Asset Recovery Request Form

Need to recover your scammed funds or stolen digital assets?

We provide end-to-end digital asset recovery solutions, including but not limited to USDT, BTC, ETH and other cryptocurrencies, as well as bank transfers.

Please fill out the following form accurately and truthfully. All information will be kept strictly confidential and used only for case evaluation and fund recovery analysis.

III. Platform / Counterparty Information

Platform or Website NameCounterparty/Scammer Name (if known)Platform ID / Wallet Address / Account IDCase Number (if any)

IV. Contact Information

Customer NamePhone / WhatsAppEmailResidential Address

V. Asset Custody Information

Do you have proof of asset ownership?

YesNo

(e.g., transfer records, wallet screenshots, blockchain hash, chat records, etc.)

VI. Bank Transfer Information

Bank NameBank Account Holder NameBank Account NumberBank Transfer DateTransfer Amount (USD Equivalent)

USD $

Have you contacted the bank to inquire or freeze the transfer?

YesNo

Transfer Method

Bank Transfer (US)International Wire Transfer (SWIFT)Other

Bank Transfer Proof Provided

Transfer ReceiptBank Statement ScreenshotWire ReceiptOther

VII. Incident Description

Please describe the incident in detail (no more than 300 words):

Please include: how the counterparty contacted you, transfer method, transfer time and amount, relevant communication or transaction details

0/300

VIII. Legal Declaration

I confirm that the information provided is true, accurate, complete, and I have not concealed any relevant information.I understand that providing false or incomplete information may affect the recovery outcome.I agree to provide further evidence or supplementary information as required by the law firm.I understand that if the case involves third-party platforms or judicial procedures, the law firm makes no guarantee regarding the case outcome.

IX. Client Authorization & Signature

Authorization:
I understand and agree to authorize Sadis & Goldberg LLP law firm to represent me in handling this case, take necessary legal actions to help recover losses, and charge related attorney fees based on the proportion of the final recovered funds.
During this process, I do not need to pay any fees in advance, and attorney fees will only be paid according to the agreement after funds are successfully recovered and received.