Fraud reporting

Name

Account public identifier

If you are a Lusopay customer, please provide your account public identifier (optional).

VAT number

E-mail

Phone

Type of fraud

Payment service used

Payment date

Payment amount (€)

Payment details

Specify the entity, reference, and other details that identify the payment.

Explanation of the fraud

Describe in detail what happened.

Channel used for payment

I authorize Lusopay to collect and process the above data for the purpose of investigating this fraud report, including contacting the merchant involved when the payment was processed by Lusopay, and retaining the data for the period required by the applicable supervisory bodies.