APPLICATION FOR AWARD FOR ORIGINAL INFORMATION PROVIDED
PURSUANT TO SECTION 23 OF THE COMMODITY EXCHANGE ACT
Please refer to the attached
Submission Procedures,
and
Completion Instructions
as needed to help you complete this form. Or, to submit the form by mail or facsimile, print out the
Form WB-APP
and mail or fax the completed form to: CFTC, Whistleblower Office, 1155 21st Street, NW, Washington, DC 20581. Fax Number (202) 418-5975.
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