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3M Verify — Counterfeit Reporting

Have a concern to report related to a potential counterfeit product? Fill in form below.

At 3M, we are committed to doing all we can to help combat counterfeit activity. We take these matters very seriously and we will review your report as quickly as possible. However, please understand that we may not be able to provide a definitive answer about the authenticity of an individual product, especially if it was not purchased from a 3M authorized reseller.

If you are unsure about the legitimacy of a particular reseller, have you asked the reseller for proof that it is authorized by 3M and that the goods are authentic? Does the purported documentation appear suspect in any way?

Please complete as much of the information requested below as possible. Fields marked with an asterisk are required.

Harap lengkapi sebanyak mungkin Informasi yang diminta di bawah ini. Bidang yang ditandai dengan tanda bintang wajib diisi.

Once you submit this report, you will receive an email notification that 3M has received the report. We request that you reply to that email and attach any copies of invoices, contracts, pictures of product and any other relevant documentation that can help us to investigate the situation.

Setelah Anda mengirimkan laporan ini, Anda akan menerima pemberitahuan email bahwa 3M telah menerima laporan. Kami meminta Anda membalas email tersebut dan melampirkan salinan faktur, kontrak, gambar produk dan kemasan, dan dokumentasi relevan lainnya yang dapat membantu kami menyelidiki situasi tersebut.

Requestor Information Orang yang Mengajukan Laporan

First Name Nama Depan*
Last Name Nama Belakang*
Company Name (if applicable) Firma
Email/Business Email Address Alamat Email*
Phone/Business Phone Number Ponsel*
Country/Region Negara*
Communication Lanugage*

Alleged Solicitor/Seller Information Penjual Produk

Please provide as much information as possible.

Seller First Name Nama Depan Penjual
Seller Last Name Nama Belakang Penjual
Seller Company Nama Perusahaan Penjual
Seller Email Email Penjual
Seller Phone Telepon Penjual
Seller Country/Region Negara Penjual
Seller's Website Situs Web Penjual

Counterfeit Product Details Produk yang Dibeli

Product 1 Produk 1*
Product 1 Price Harga Produk 1
Product 1 Model Number Produk 1 Nomor Model atau Deskripsi
Product 1 Quantity Produk 1 Kuantitas Dibeli
Product 2 Produk 2
Product 2 Price Harga Produk 2
Product 2 Model Number Produk 2 Nomor Model atau Deskripsi
Product 2 Quantity Produk 2 Kuantitas Dibeli
Product 3 Produk 3 (pilih salah satu)
Product 3 Price Harga Produk 3
Product 3 Model Number Produk 3 Nomor Model atau Deskripsi
Product 3 Quantity Produk 3 Kuantitas Dibeli
Product Purchase Details Detail Pembelian Produk
Please be aware that the information you supply about yourself, or any aspect of 3M’s operations may result in actions or decisions that may affect others. We ask you to provide only information that, to the best of your knowledge, is correct. You will not be sanctioned for submitting information in good faith, even if it turns out to be inaccurate. However, if you knowingly provide false or misleading information, it may result in disciplinary or judicial action.
Perlu diketahui bahwa informasi yang Anda berikan tentang diri Anda, atau aspek apa pun dari operasi 3M dapat mengakibatkan tindakan atau keputusan yang dapat memengaruhi orang lain. Kami meminta Anda untuk hanya memberikan informasi yang, sepengetahuan Anda, benar. Anda tidak akan dikenakan sanksi karena mengirimkan informasi dengan itikad baik, bahkan jika ternyata tidak akurat. Namun, jika Anda dengan sengaja memberikan informasi palsu atau menyesatkan, hal itu dapat mengakibatkan tindakan disipliner atau yudisial.

3M respects your right to privacy. 3M will collect, use, and disclose the personal information you provide in accordance with our Privacy Policy. In addition to the third party disclosures described in our Privacy Policy, 3M may share all personal information you provided in this form with third parties including but not limited to law enforcement agencies, governmental authorities, regulators or courts: (i) to comply with a law, regulation, court order, or other legal process; (ii) to meet our legitimate interest in detecting, preventing, investigating and responding to fraud, intellectual property infringement, violation of our contracts or agreements, violation of law, or other misuse of 3M products or services; (iii) to protect 3M rights or property or yours or others’ health, safety, welfare, rights, or property; or (iv) under similar circumstances to address fraud and counterfeit activity related to the Covid 19 situation. If 3M elects to share personal information with law enforcement agencies, governmental authorities, regulators or courts, 3M will have no control over that personal information.
3M menghormati hak privasi Anda. 3M akan mengumpulkan, menggunakan, dan mengungkapkan informasi pribadi yang Anda berikan sesuai dengan Kebijakan Privasi kami. Selain pengungkapan pihak ketiga yang dijelaskan dalam Kebijakan Privasi kami, 3M dapat membagikan semua informasi pribadi yang Anda berikan dalam formulir ini dengan pihak ketiga termasuk namun tidak terbatas pada lembaga penegak hukum, otoritas pemerintah, regulator atau pengadilan: (i) untuk mematuhi hukum, peraturan, perintah pengadilan, atau proses hukum lainnya; (ii) untuk memenuhi kepentingan sah kami dalam mendeteksi, mencegah, menyelidiki dan menanggapi penipuan, pelanggaran kekayaan intelektual, pelanggaran kontrak atau perjanjian kami, pelanggaran hukum, atau penyalahgunaan produk atau layanan 3M lainnya; (iii) untuk melindungi hak atau properti 3M atau kesehatan, keselamatan, kesejahteraan, hak, atau properti Anda atau orang lain; atau (iv) dalam keadaan serupa untuk mengatasi penipuan dan aktivitas pemalsuan terkait dengan situasi Covid 19. Jika 3M memilih untuk berbagi informasi pribadi dengan lembaga penegak hukum, otoritas pemerintah, regulator atau pengadilan, 3M tidak akan memiliki kendali atas informasi pribadi tersebut.
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