Counterfeit Incident Reporting Form

Thank you for reporting possible counterfeit activity. The details you provide will help HP follow-up and investigate. Please take a few moments to fill out and submit this form to HP.

* = required field

Basic Information

Relationship to HP *

Customer

HP employee

Channel partner

Other

Contact Information

First name *

Last name *

Country/Region *

State *

Address

Telephone

Country code*(Area)Telephone*(Extension)

Email address *

Possible Counterfeit Product Information

Type of product *

Toner

Ink

Model

Date of purchase

Do you still have the ink/toner package?

Yes

Reason for reporting (check all that apply): *

Missing security seal

Low price

Broken or damaged box

Prolonged delivery

Leaky or dirty cartridge

Short life span of cartridge

Other

Upload Photos

Upload photos of the suspicious product (if applicable).

Vendor Information

Vendor name (individual or company) *

Was the vendor notified

Yes

Address/description of location *

Country

Vendor email

Vendor telephone

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Please indicate below how HP may contact you.

Email *

Yes

Mail *

Yes

Phone *

Yes

I do not want HP to contact me

Submit