Complaint Report Kit · free sample

Fact lock — one-page teaser

A shortened preview of the DIY fact-lock sheet. Fill brackets only with what you know. Omit unknowns. The full ZIP adds photo checklist, Alert Line how-to, phone script, do-not rules, and confirmation checklist.

Not legal advice. Not a police report. Not FMCSA.

Teaser fields

Date / time / zone: [ ]
Road / direction / state: [ ]  (milepost: omit if unknown)
Carrier + vehicle: [ ]
Plate state + number: [ ]
Behavior: [ ] tailgating  [ ] unsafe lane change  [ ] other: ____
Crash / injuries: Y / N
Photo plate readable: Y / N
Contact email for form: [ ]

Do not invent milepost, DOT, witnesses, or plate digits.

Pay — full Unsafe-Driver DIY $29

Send exactly 29 USDC on Solana to this address. Include your email and CRK-29 in the transfer memo, or email both after you pay.

Pay QR: Revenue supplies pay-qr.png on checkout.

3KqLqnzBTo7NP88wajzkdymmVj2e8mUziBrLovBgjQ2v

Memo (copy): you@email.com CRK-29 · Amount (copy): 29

Network: Solana. Token: USDC. Mint (copy): EPjFWdd5AufqSSqeM2qN1xzybapC8G4wEGGkZwyTDt1v.

Solana USDC only — not SOL, not Ethereum USDC.

Works with Phantom or Solflare (Solana) — scan QR or paste address.

After payment, email loganromero.revenue@proton.me (subject: CRK-29 paid) with your wallet or tx. ZIP emailed within 24 hours of your memo/tx email. No login. No card. No calls.

Full kit + optional File-for-me add-on: complaint-report-kit.pages.dev.