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Run: Casino Suspicious Activity Report Form

Document suspicious patron activity, transaction details, and surveillance references in one internal worksheet built to support Title 31 SAR review and esca...

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Report Overview

Date of Report (required)

Time of Report (required)

Reporter Name (required)

Reporter Department (required)

Date of Suspicious Activity (required)

Approximate Time of Activity

Patron and Location Details

Is the patron known to the property? (required)

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 (required)

Location Details

Suspicious Activity Indicators

Observed Activity Types (required)

Other Activity Details

Why was the activity suspicious? (required)

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? (required)

Transaction Type

Transaction Details

Include counts, denominations, sequence of events, and any observed structuring behavior.

Is surveillance footage or log evidence available? (required)

Evidence Reference

Enter camera ID, log reference, incident number, or file name if available.

Immediate Actions and Escalation

Immediate Action Taken (required)

Immediate Action Details

Team Notified

Is follow-up needed? (required)

Reporter Attestation

I confirm this report is accurate to the best of my knowledge and based on observed facts. (required)

Yes No N/A

Reporter Signature (required)

Additional Notes

Use for any context that may help Compliance determine whether SAR filing review is warranted.

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Email (required)

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