Identity Theft Affidavit Form - Wichita Police Department (Page 13 of 14) in pdf

Identity Theft Victim Worksheet

Use this form to record the steps you take in reporting the fraudulent use of your identity.

Credit Bureaus - Report Fraud

Request a fraud alert be placed in your file, and a victim's statement asking that creditors call you before opening any new accounts or changing your

existing accounts. Ask for a free copy (if inaccurate due to fraud.) Ask that inquiries related to the fraud be removed. Order reports again in 2-3 months to

check for new activity.

Bureau

Phone Number

Date Contacted

Contact

Comments

Person

Equifax

1-800-525-6285

Experian

1-888-397-3742

Trans Union

1-800-680-7289

Banks, Credit Card Issuers and Other Creditors

Contact each creditor promptly, then follow-up with a letter to protect your legal rights. Check for fraudulent charges and or changes-of-address.

Close the accounts that have been compromised and open new ones, being sure to use different, non-obvious, Personal Identification Numbers

(PINs) and passwords.

Creditor

Address/Phone

Date Contacted

Contact

Comments

Person

Law Enforcement Authorities - Report Identity Theft

File a police report and get a copy of it to use as proof of the crime when dealing with creditors. Also contact the FTC with their special phone

number, 1-877-IDTHEFT (438-4338), or via their online ID theft form at https://

Agency/Dept

Phone#

Date Contacted

Contact

Report#

Comments

Person

The FTC

1-877-IDTHEFT

(316) 268-4221

Wichita Police Case Desk

Stolen checks - Stop Payment

Institution

Phone#

Date Contacted

Contact

Comments

Person

Your bank

Telecheck

1-800-710-9898

SCAN

1-800-262-7771

Equifax

1-800-437-5120

Other Needs of Identity Theft Victims

File a police report and get a copy of it to use as proof of the crime when dealing with creditors. Also contact the FTC with their special phone number,

1-877-IDTHEFT (438-4338), or via their online ID theft form at https://

Problem

Contact

Removing fraudulent phone charges (within your state.)

State Public Utility Commission

Long Distance and Cellular Providers

1-888-CALL-FCC (225-5322)

Fraudulent use of your SSN

1-800-269-0271

Misuse of your name or SSN to get a driver’s license

Kansas Department of Motor Vehicles (785-296-4388)