Casino Suspicious Activity Report Form

Internal worksheet for documenting suspicious patron activity and related observations to support Title 31 SAR filing.

Report Overview

• Date of Report
• Time of Report
• Reporter Name
• Reporter Department
• Date of Suspicious Activity
• Approximate Time of Activity

Patron and Location Details

• Is the patron known to the property?
• Patron Identifier
  Use loyalty number, player card number, or internal reference if available. Avoid collecting full government ID unless required by policy.
• Patron Description
  Brief physical or behavioral description if needed for internal identification.
• Location / Area
• Location Details

Suspicious Activity Indicators

• Observed Activity Types
• Other Activity Details
• Why was the activity suspicious?
  Describe the specific facts, observations, and patterns that led to concern. Avoid conclusions without supporting observations.
• Estimated Amount Involved
• Currency / Instrument Type

Transaction and Surveillance Details

• Did the activity involve a transaction?
• Transaction Type
• Transaction Details
  Include counts, denominations, sequence of events, and any observed structuring behavior.
• Is surveillance footage or log evidence available?
• Evidence Reference
  Enter camera ID, log reference, incident number, or file name if available.

Immediate Actions and Escalation

• Immediate Action Taken
• Immediate Action Details
• Team Notified
• Is follow-up needed?

Reporter Attestation

• I confirm this report is accurate to the best of my knowledge and based on observed facts.
• Reporter Signature
• Additional Notes
  Use for any context that may help Compliance determine whether SAR filing review is warranted.