Federal trade commission announces id theft affidavit. Muris, the chairman of the federal trade commission. Part one the id theft affidavit is where you report general information about yourself and the theft. After you file your complaint, you will need a printed copy of the complaint.
Letter to place an initial fraud alert this is a letter you should send to one of the credit bureaus if you are concerned that your credit may be threatened due to identity theft. An identity theft affidavit form is a document which is required to be filled out and submitted by individuals who have been a victim of identity thieves. If you know that your identity has been stolen as a result of a data breach, take these steps to contain the damage. Lake county sheriffs office identity theftfraud packet. Instructions for identity theft victims danville, ca. The ftc collects complaints from identity theft victims and shares their information with law. A copy of your police report or a signed federal trade commission id theft victim affidavit must be provided to show that you are a victim of identity theft. Complaint affidavit, the original of which can be located on the ftcs website. One way to do this is to provide copies of your credit reports showing the items related to identity theft. Your completed complaint is called an identity theft affidavit. More information on identity fraud can be found in our data breach hq file a complaint with the ftc with its online form or call 18774384338.
Jun 23, 2018 an identity theft affidavit is a document that can help victims of identity theft prove to a business that their personal financial data has been used to open a fraudulent account. Start a free trial now to save yourself time and money. Id theft affidavit to make it easier for fraud victims to report information. Reporting identity theft to the federal trade commission ftc is a critical step toward protecting yourself and your finances when youve been a victim. Fill out, securely sign, print or email your identity theft victims complaint and affidavit legal aid of nebraska instantly with signnow. Give the police as much information on the theft as possible. Download and create your own document with identity theft victim s complaint and affidavit 32kb 11 pages for free. This is the same affidavit that the ftc makes available to victims of identity theft. You can obtain an identity theft report by taking this form to your local law enforcement. Mar 11, 2019 for identity theft victims, the primary goal is to reclaim their identities and reduce their risk of future victimization. During 2001, id theft was the number one consumer fraud complaint received by the ftc, stated timothy j.
Pdf editor enables you to make modifications to your ftc identity theft victims complaint and affidavit fill online from any internet linked gadget, customise it in line with your requirements, sign it electronically and distribute in different ways. Fill out, securely sign, print or email your ftc identity theft form instantly with. The most secure digital platform to get legally binding, electronically signed documents in just a few seconds. Call the federal trade commission ftc hotline to obtain its id theft affidavit at 1877idtheft. Learn the steps to prevent identity theft, and if youve become a victim, what steps to take to stop the damage. This kit is designed to help you work through the process of resolving your identity theft case and clearing your name. A printed version of your complaint is available only if you file your complaint online. If different from above when the events described in this affidavit took place, i was known as first middle last jr.
Data breach victims should submit a form 14039, identity theft affidavit, only if your social security number has been compromised and irs has informed you that you may be a victim of taxrelated identity theft or. Identity theft victim s complaint and affidavit a voluntary form for filing a report with law enforcement and disputes with credit reporting agencies and creditors about identity theft related problems. While many companies accept this affidavit, others require. Walmart sams club identity theft victims affidavit made. Specifically, the guide highlights the rights and remedies available to identity theft victims under federal laws, most notably. Identity theft resources identity attorney generals id. The affidavit requests information regarding you as the victim, how the fraud occurred, law enforcements actions. Walmart sams club identity theft victims affidavit.
Comcast resources for fraud and identity theft resolution. Some businesses require a police report to remove fraudulent debts from a victims account. Part two the fraudulent account statement is where you describe the fraudulent accounts opened in your name. Section a check the following boxes in this section that apply to the specific situation you are reporting required for all filers 1. Ftc federal trade commission identity theft affidavit a copy of the ftc identity theft affidavit can be found at the end of this packet. Identity theft victim s complaint and affidavit a voluntary form for filing a report with law enforcement, and disputes with credit reporting agencies and creditors about identity theftrelated problems. Identity theft victims complaint and affidavit pdf pdf. Identity theft affidavit form fill out and sign printable. By sharing your identity theft complaint with the ftc, you will provide. Ask the police to issue a police report of identity theft. Under california law, you can report identity theft to your local police department. Identity theft report fill out and sign printable pdf template. The ftc collects complaints from identity theft victims and shares their information with law enforcement nationwide.
Your social security number ssn is needed to submit an identity theft affidavit form 14039 to the irs. File a complaint with the federal trade commission ftc at 1877 idtheft 4384338 or online at. While there are many general identity theft resource. From a consumer complaint to the ftc, january 2, 2001. A voluntary form for filing a report with law enforcement, and disputes with credit reporting agencies and creditors. Identity theft victims complaint and affidavit a voluntary form for filing a report with law enforcement, and disputes with credit reporting agencies and creditors about identity theftrelated problems. Here are basic steps that should be taken in nearly all instances of identity theft. Identity theft victim checklist attorney general of. Thankfully, the ftc has created an online ftc complaint assistant to help you easily submit a report.
The site provides streamlined checklists and sample letters to guide you through the recovery process. Instructions and help about ftc affidavit pdf form. A copy of the ftc identity theft affidavit can be found at the end of this packet. It can serve to flag current fraud and reduce the risk of future fraud. Download identity theft victims complaint and affidavit. Ftc identity theft affidavit a copy of the ftc identity theft affidavit can be found at the end of this packet. The form will serve as a documented report of the victim which will inform the authorities about the incident and situation that the victim is currently involved in. The identity theft affidavit can help because it attests to the fact that the identity theft happened. Taxpayer guide to identity theft internal revenue service. Use these free templates or examples to create the perfect professional document or project.
Use the identity theft report the combination of the police report and identity theft affidavit to create an extended fraud alert. If your identity has been stolen, call or email attorney gary nitzkin at 888 2932882 for free advice on how to stop the effects of identity theft and to get your credit report fixed so it is accurate. Ftc identity theft affidavit printable and editable pdf. Complete the identity theft victims complaint and affidavit form. The two documents comprise an identity theft report.
Instructions for completing the id theft affidavit 27. They will create a ftc identity theft affidavit for you that you will need throughout the rest of the process. Identity theft victim s complaint and affidavit a voluntary form for filing a report with law enforcement, and disputes with credit reporting agencies and creditors about identity theft related problems. Id theft affidavit do not send affidavit to the ftc o an othe govenment agency page 1 name phone number victim information 1. Identity theft victims complaint and affidavit a voluntary form for filing a report with law enforcement, and disputes with credit reporting agencies and creditors about identity theft related problems.
The id theft affidavit provides a model form that can be used to report information to many companies, simplifying the process of alerting companies where a new account was opened in the victims name. You can go to to report identity theft and get a recovery plan. Contact your primary bank or credit union if you think you are a victim of identity theft or identity fraud, immediately contact your bank and or credit union. Floridas identity theft victim kit a guide for victims of identity theft, detailing what to do and who to contact. Promptly report the fraud to local law enforcement, the attorney generals office and the ftc.
The irs needs this form to begin resolving your identity theft case. However, if you do not provide your name or other information, it may be impossible for the ftc to refer, respond to, or investigate your complaint or request. Identity theft victims complaint and affidavit ilas. Free identity theft victims complaint and affidavit pdf download. Identity theft affidavit fill online, printable, fillable, blank pdffiller. Data breach victims should submit a form 14039, identity theft affidavit pdf,only if your social security number has been compromised and your efiled return was rejected. The affidavit requests information regarding you, as the victim, how the fraud occurred, law enforcements actions. The next several pages are a fillable pdf version of the identity theft victims.
A voluntary form for filing a report with law enforcement, and disputes with credit reporting agencies and creditors about identity theft related problems. You can obtain an identity theft report by taking this form to your local law enforcement office, along with your supporting documentation. The ftc has overhauled the process for helping victims of identity theft. Feb 18, 2020 if youve been a victim of a data breach, keep in touch with the company to learn what it is doing to protect you and follow the steps for victims of identity theft. Identity theft report fill out and sign printable pdf. A voluntary form for filing a report with law enforcement and disputes with credit reporting. The form will serve as a documented report of the victim which will inform the authorities about the incident and situation that the victim.
The offender may or may not be known to the victim, and the method of operation varies. Identity theft victims complaint and affidavit a voluntary form for filing a report with law enforcement and disputes with credit reporting agencies and creditors about identity theftrelated problems. Identity theft affidavit rather than completing several different forms, you can use the identity theft affidavit to. An identity theft affidavit includes personal and account information, and is a statement of the facts surrounding your identity theft. If someone is using your personal information to open new accounts, make purchases, or get a tax refund, report it at identitytheft. This information also may be shared with other government agencies, consumer reporting agencies, and companies where the fraud was perpetrated to help resolve identity theft related problems.
Identity theft passport the identity theft passport is a card that you can carry and present to law enforcement or other individuals who may challenge you about your identity should you become the victim of identity crime. If you believe you have been the victim of fraud or identity theft and need to submit a claim to comcast here is how to get started. As you contact law enforcement, creditors, and financial institutions, it is. Free download of identity theft affidavit 1 pdf document available in pdf format. Remember, if you are a victim of identity theft and provide a valid copy of a police report or a federal trade commission id theft affidavit, alleging the crime of identity theft, there are no fees for freezing your credit report. The irs will send you a letter about 30 days after they receive your completed form, to let you know they got it. Download and create your own document with identity theft victim s complaint and affidavit 32kb 11 page s for free. Or, send an electronic complaint to the ftc the information you provide is up to you.
Fill out, securely sign, print or email your ftc identity theft form instantly with signnow. Identity theft can affect your credit, create fraudulent debt or false medical records, and much more. Submit a personal statement that will be included in your ftc identity theft report and your irs identity theft affidavit form 14039. Complaint information is entered into a central database, the consumer sentinel, which is accessed by many local and state law enforcement agencies in florida. Instructions for completing the id theft affidavit do not send.
Complete and submit this form if you are an actual or potential victim of identity theft and would like the franchise tax board ftb to update your account status to identify questionable activity. Report the fraud to your local police department as soon as possible. Your law enforcement report recommended, if not complete, you must complete section g 5. If you are already the victim of identity theft or believe your information has been compromised you may also file an affidavit with the irs. If you think you are a victim of identity theft or identity fraud, immediately call the u. The ftc unveiled a new tool today to assist victims of identity theft restore their good names.
File a complaint with the ftcs identity theft clearinghouse the clearinghouse is the federal governments repository for id theft complaints. A voluntary form for filing a report with law enforcement, and disputes with credit reporting agencies and creditors about identity theftrelated problems. Navigating through the system as an identity theft victim can be a lengthy and confusing process. It is important that you file an identity theft complaint with the ftc.
Theft affidavit to help victims of id theft restore. Submit a personal statement that will be included in your ftc identity theft report. Submit an identity theft complaint affidavit with the ftc the federal trade commission ftc is the nations consumer protection agency that collects identity theft information. A victim of identity theft must provide a copy of the ftc affidavit or another affidavit acceptable to the business, plus governmentissued identification, and a copy of an identity theft report police report in order to obtain the documents created by the imposter. Id theft selfhelp packet unt division of student affairs. Use a separate fraudulent account statement for each company you need to. Who needs a identity theft victims complaint and affidavit form. Your local police or the police in the community where the identity theft took place. Please dont include account numbers, your social security number, or other sensitive data. People who commit financial identity theft do not fit a stereotype. Omb number 154529 complete this form if you need the irs to mark an account to identify questionable activity.
1515 1466 621 982 1427 1196 1518 509 1663 1269 1494 788 336 926 599 211 1683 1038 451 118 626 1344 18 1667 82 21 1403 1656 829 885 1344 276 1448 1035 625 1346 1104 541 145 782 1238 262 1122 373 60 142 1381