Unusual Activity Referral


This form is used to report observations of unusual or suspicious activity to the Security, Risk & Loss Prevention Department and is for internal use only.

Suspicious activity includes but is not limited to:

See NWCU SAR Procedures on PATH for more information.

Regardless of whether a SAR is filed, this form and the information on it, as well as any SAR filed, must be kept confidential. The Bank Secrecy Act prohibits any Credit Union employee, officer, director, board member, volunteer or Credit Union agent from notifying any person involved in a transaction that the transaction has been reported.

Victim or Suspect Information


DESCRIPTION
(please do not leave this section blank)

WHO: List individual(s) involved, their behavior, what they said and if acting alone or directed by another.
WHAT: Describe the activity, how it was done, and fund types involved such as cash, check, wire, ACH, loan, etc.
WHEN: Detail sequence of events, including dates and whether activity was a one-time event or a pattern over time.
WHERE: Identify where the activity occurred; branch, department, or other financial institution.
WHY: Explain why the activity was suspicious to you and what documentation you have.