3M Verify — Counterfeiting Reporting

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

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.

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.