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Identity Theft Detection Prevention and Mitigation Program

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Identity Theft Policy

EFFECTIVE DATE:

Definitions

Identifying information means any name or number that may be used, alone or in conjunction with any other information, to identify a specific person, including: name, address, telephone number, social security number, date of birth, government issued driver's license or identification number, alien registration number, government passport number, employer or taxpayer identification number, unique electronic identification number, computer's Internet Protocol address, or routing code.

Identity theft means fraud committed or attempted using the identifying information of another person without authority.

Credit means the right granted by a creditor to a debtor to defer payment of debt or to incur debts and defer its payment or to purchase property or services and defer payment therefor.

Creditor means any person who regularly extends, renews, or continues credit; any person who regularly arranges for the extension, renewal, or continuation of credit; or any assignee of an original creditor who participates in the decision to extend, renew, or continue credit.

A covered account means:

1. An account that a financial institution or creditor offers or maintains, primarily for personal, family, or household purposes that involves or is designed to permit multiple payments or transactions. Covered accounts include credit card accounts, mortgage loans, automobile loans, margin accounts, cell phone accounts, utility accounts, checking accounts and savings accounts; and

2. Any other account that a financial institution or creditor, or municipality, offers or maintains for which there is a reasonably foreseeable risk to customers/users or to the safety and soundness of the financial institution or creditor or municipality from identity theft, including financial, operational, compliance, reputation or litigation risks.

A red flag means a pattern, practice or specific activity that indicates the possible existence of identity theft.

IDENTIFICATION OF RED FLAGS.

The Employer identifies the following red flags, in each of the listed categories:

1. Suspicious Documents

i. Identification document or card that appears to be forged, altered or inauthentic;

ii. Identification document or card on which a person's photograph or physical description is not consistent with the person presenting the document;

iii. Other document with information that is not consistent with existing customer/user information (such as if a person's signature on a check appears forged); and

iv. Direct Payment Enrollment Form that appears to be altered or forged.

2. Suspicious Personal Identifying Information

i. Identifying information presented that is inconsistent with other information the customer/user provides (example: inconsistent birth dates);

ii. Identifying information presented that is inconsistent with other sources of information (for instance, an address not matching an address on a credit report);

iii. Identifying information presented that is the same as information shown on other applications that were found to be fraudulent;

iv. Identifying information presented that is consistent with fraudulent activity (such as an invalid phone number or fictitious billing address);

v. An address or phone number presented that is the same as that of another person;

vi. A person's identifying information is not consistent with the information that is on file for the customer/user.

3. Suspicious Account Activity or Unusual Use of Account

i. Change of address for an account followed by a request to change the account holder's name;

ii. Payments stop on an otherwise consistently up-to-date account;

iii. Account used in a way that is not consistent with prior use (example: very high activity);

iv. Mail sent to the account holder is repeatedly returned as undeliverable;

v. Notice to the Employer that a customer/user is not receiving mail sent by the Employer;

vi. Notice to the Employer that an account has unauthorized activity;

vii. Breach in the Employer‘s computer system security; and

viii. Unauthorized access to or use of customer/user account information.

4. Alerts from Others

i. Notice to the Employer from a customer/user, identity theft victim, law enforcement or other person that it has opened or is maintaining a fraudulent account for a person engaged in Identity Theft.

ii. Notifications and Warnings From Credit Reporting Agencies

• Report of fraud accompanying a credit report;

• Notice or report from a credit agency of a credit freeze on a customer or applicant;

• Notice or report from a credit agency of an active duty alert for an applicant; and

• Indication from a credit report of activity that is inconsistent with a customer’s usual pattern or activity.

DETECTING RED FLAGS.

1. New Accounts.

In order to detect any of the Red Flags identified above associated with the opening of a new account, personnel will take the following steps to obtain and verify the identity of the person opening the account:

i. Require certain identifying information such as residential or business address;

ii. Independently contact the customer/user.

2. Existing Accounts.

In order to detect any of the Red Flags identified above for an existing account, personnel will take the following steps to monitor transactions with an account:

i. Verify the identification of customers/users if they request information (in person, via telephone, via facsimile, via email);

ii. Verify the validity of requests to change billing addresses; and

iii. Verify changes in banking information, if any, given for billing and payment purposes. Updated Direct Payment Enrollment Form required.

PREVENTING AND MITIGATING IDENTITY THEFT.

1. Prevent and Mitigate.

In the event personnel detect any identified Red Flags, such personnel shall take one or more of the following steps, depending on the degree of risk posed by the Red Flag:

i. Continue to monitor an account for evidence of Identity Theft;

ii. Contact the customer/user;

iii. Change any passwords or other security devices that permit access to accounts;

iv. Not open a new account;

v. Close an existing account;

vi. Reopen an account with a new number;

vii. Notify the Employer (or his/her designee) for determination of the appropriate step(s) to take;

viii. Notify law enforcement; and/or

ix. Determine that no response is warranted under the particular circumstances.

2. Protect customer/user identifying information.

In order to further prevent the likelihood of identity theft occurring with respect to Employer accounts, the Employer will take the following steps with respect to its internal operating procedures to protect customer/user identifying information:

i. Ensure that its website is secure or provide clear notice that the website is not secure;

ii. Ensure complete and secure destruction of paper documents and computer files containing customer/user information;

iii. Ensure that office computers are password protected and that computer screens lock after a set period of time;

iv. Keep offices clear of papers containing customer/user information;

v. Ensure computer virus protection is up to date;

vi. Request only the last 4 digits of social security numbers (if any); and

vii. Require and keep only the kinds of customer/user information that are necessary for utility purposes.

PROGRAM ADMINISTRATION.

1. Oversight.

Responsibility for developing, implementing and updating this Program lies with an Identity Theft Committee for the Employer. The Committee is headed by (or his designee), with the and comprising the remainder of the committee membership. (or his/her designee) will be responsible for the Program administration, for ensuring appropriate training of staff on the Program, for reviewing any staff reports regarding the detection of Red Flags and the steps for preventing and mitigating Identity Theft, determining which steps of prevention and mitigation should be taken in particular circumstances and considering periodic changes to the Program.

The following will be taken into consideration:

i. The experiences of the organization with identity theft;

ii. Changes in methods of identity theft;

iii. Changes in methods to detect, prevent and mitigate identity theft;

iv. Changes in the types of accounts that the organization offers or maintains;

v. Changes in the business arrangements of the organization, including mergers, acquisitions, alliances, joint ventures and service provider arrangements.

After considering these factors, (or his/her designee), with the assistance of , will determine whether changes to the Program, including the listing of Red Flags, are warranted. If warranted, (or his/her designee), will present with his/her recommended changes and the Board will make a determination of whether to accept, modify or reject those changes to the Program.

Oversight of the Program shall include:

i. Assignment of specific responsibility for implementation of the Program to ;

ii. Review of reports prepared by staff regarding compliance; and

iii. Approval of material changes to the Program as necessary to address changing risks of identity theft.

Reports shall be prepared as follows:

i. Staff responsible for development, implementation and administration of the Program shall report to (the governing body, an appropriate committee of the governing body or a designated employee at the level of senior management) at least annually on compliance by the organization with the Program.

ii. The report shall address material matters related to the Program and evaluate issues such as:

a. The effectiveness of the policies and procedures in addressing the risk of identity theft in connection with the opening of covered accounts and with respect to existing covered accounts;

b. Service provider agreements;

c. Significant incidents involving identity theft and management’s response; and

d. Recommendations for material changes to the Program.

Oversight of Service Provider Arrangements

In the event the Employer engages a service provider to perform an activity in connection with one or more accounts, it will take the following steps to ensure the service provider performs its activity in accordance with reasonable policies and procedures designed to detect, prevent, and mitigate the risk of Identity Theft:

• Require, by contract, that service providers have such policies and procedures in place;

• Require, by contract, that service providers review the Employer’s Program and report any Red Flags to the Program Administrator.

2. Staff Training And Reports.

Staff responsible for implementing the Program shall be trained either by or under the direction of (or his/her designee) in the detection of Red Flags, and the responsive steps to be taken when a Red Flag is detected. Staff is required to provide reports to the Program Administrator on incidents of Identity Theft, the Employer’s compliance with the Program and the effectiveness of the Program.

The Program shall train staff, as necessary, to effectively implement the Program; and the Program shall exercise appropriate and effective oversight of service provider arrangements.

3. Duties Regarding Address Discrepancies

The Employer shall develop policies and procedures designed to enable the organization to form a reasonable belief that a credit report relates to the consumer for whom it was requested if the organization receives a notice of address discrepancy from a nationwide consumer reporting agency indicating the address given by the consumer differs from the address contained in the consumer report.

The Employer may reasonably confirm that an address is accurate by any of the following means:

i. Verification of the address with the consumer;

ii. Review of the utility’s records;

iii. Verification of the address through third-party sources; or

iv. Other reasonable means.

If an accurate address is confirmed, the Employer shall furnish the consumer’s address to the nationwide consumer reporting agency from which it received the notice of address discrepancy if:

i. The organization establishes a continuing relationship with the consumer; and

ii. The organization, regularly and in the ordinary course of business, furnishes information to the consumer reporting agency.

Signature:

Date:

Title:

Printed Name:

Enter text✕

What the Identity Theft Detection Prevention and Mitigation Program Is

The Identity Theft Detection Prevention and Mitigation Program is a documented set of policies, procedures, and controls designed to detect, prevent, and respond to identity theft risks affecting customers, employees, or third parties. It typically defines roles and responsibilities, incident detection criteria, monitoring methods, data sources, investigation steps, notification protocols, and remediation actions. The program aligns with federal standards where applicable (for example, ESIGN and UETA for electronic records, HIPAA for health data) and is intended to reduce exposure, meet regulatory obligations, and provide a repeatable response workflow for suspected identity compromise.

Why a Formal Program Matters for Organizations

A formal identity-theft program centralizes detection and response, reduces legal and operational risk, and supports regulatory compliance. Clear procedures help preserve evidence for investigations, speed victim remediation, and limit reputational harm by ensuring consistent actions across incidents.

Why a Formal Program Matters for Organizations

Who Typically Implements and Uses This Program

Organizations across many sectors implement identity-theft programs to protect personal data, customers, and business operations.

  • Compliance teams and privacy officers who must meet HIPAA, state data breach laws, or industry-specific rules.
  • IT and security operations staff responsible for log monitoring, alerts, and forensics.
  • Customer support, fraud units, and legal teams that handle notifications and remediation steps.

Roles vary by organization size; small teams often combine functions while larger entities maintain separate teams for detection, legal, and remediation.

Core Components to Include in a Professional Program

A complete program ties detection rules to response workflows and defines communication, evidence handling, and escalation paths while documenting required approvals and reporting metrics.

Policy

A written policy defining scope, objectives, roles, and acceptable risk thresholds that senior management has approved and reviews periodically.

Detection Rules

Defined alerts and indicators (account takeover patterns, unusual access, fraudulent application signals) with data sources and ownership for each rule.

Investigation

Procedures for incident triage, evidence collection, chain-of-custody, timelines for internal review, and decisions on escalation.

Notification

Templates and legal criteria for notifying affected individuals, regulators, and credit bureaus consistent with state breach laws and sector requirements.

Remediation

Actions to contain fraud, reverse unauthorized changes, restore accounts, and provide identity-protection services where appropriate.

Metrics

Key performance indicators such as detection time, resolution time, number of incidents, and post-incident root-cause findings.

Essential Security and Compliance Elements

Data Encryption: TLS 1.2/1.3 in transit
Data at Rest: AES-256 encryption
Audit Trail: Tamper-evident logs
HIPAA Support: BAA available
Regulatory Certs: SOC 2 Type II
Access Controls: Role-based MFA

Step-by-Step: How to Complete the Program Document

Follow these steps to create and approve a defensible identity-theft program that supports detection, remediation, and legal obligations.

  • 01
    Draft Policy: Document scope, objectives, and roles.
  • 02
    Define Rules: Specify detection indicators and thresholds.
  • 03
    Map Responses: Assign actions for each severity level.
  • 04
    Approve & Publish: Senior management signs and policy is distributed.

How to Configure an Online Detection and Response Workflow

Configure automated routing so alerts trigger the correct reviewers and preserve an audit trail for each action.

Field Configuration
Alert Priority Map to severity levels and auto-escalation rules
Assignee Role Assign SOC analyst, fraud team, legal as needed
Evidence Attachment Require logs, screenshots, and case notes
Notification Path Email + ticketing system + exec alerts

Typical Incident Flow From Detection to Closure

A consistent incident flow reduces missed steps and ensures evidence preservation from detection through remediation.

  • Alert Raised: Monitoring system flags suspicious activity
  • Triage: Analyst confirms and categorizes incident
  • Investigation: Collect logs, interview parties, document findings
  • Remediation: Contain, restore, notify, and close

Technical and Integration Considerations

Choose tools that integrate with existing systems and record a verifiable audit trail for each action.

  • Integrations: Support for CRM, ticketing, and cloud storage
  • Document Formats: Accept PDF, DOCX, and structured exports
  • Authentication: Support SSO, MFA, and advanced signer checks

Ensure the platform preserves timestamps, signer attribution, and a tamper-evident audit trail to support investigations and regulatory reviews.

eSignature Vendor Comparison: Pricing and Key Capabilities

Compare starting prices, basic capabilities, and compliance support across common eSignature vendors; signNow appears first per platform comparison standards.

signNow DocuSign Adobe Sign PandaDoc HelloSign
Starting Price $8/user/mo $15/user/mo $14/user/mo $19/user/mo $15/user/mo
Free Trial 7-day trial Varies Varies Varies Varies
Bulk Send Yes Yes Yes Yes No
Audit Trail Yes Yes Yes Yes Yes
HIPAA Compliant Yes Yes Yes No No
Envelope Cap No cap 100 env/user/yr Varies Varies Varies

Practical Tips for Accurate and Efficient Completion

Use clear templates, mandatory validation rules, and a documented approval flow to reduce errors and speed incident response.

Use Standard Templates
Create fixed templates for detection criteria, notification letters, and evidence checklists to ensure consistent application and reduce review time.
Validate Key Fields
Require formatted fields (MM/DD/YYYY, full legal names, standardized state abbreviations) to prevent mismatches during investigations or legal review.
Preserve Audit Trails
Enable immutable logs and retain audio/video records for RON notarizations where used; these support chain-of-custody for forensic review.
Review Annually
Reassess rules, thresholds, and legal requirements annually or after significant incidents to keep the program aligned with threats and regulation.

Key Risks and Consequences of Incomplete or Incorrect Programs

Regulatory Fines: HIPAA and state fines
Civil Liability: Customer lawsuits
Operational Impact: Business interruption
Reputational Harm: Loss of trust
Evidence Loss: Compromised investigations
Tax Penalties: Reporting fines if fiscal records mishandled

Common Mistakes to Avoid When Preparing the Program

  • Failing to tie detection rules to accountable owners causes alerts to go uninvestigated and increases response time.
  • Using vague notification language without legal review can trigger noncompliance with state breach-notice statutes and inconsistent victim support.
  • Relying on screenshots alone instead of secured logs and signed records undermines chain-of-custody in investigations and legal proceedings.
  • Not aligning retention schedules with statutory requirements (for example HIPAA or IRS) risks regulatory penalties and inadequate evidence preservation.

How Other Organizations Use Identity-Theft Programs in Practice

Real-world examples show how documented workflows and electronic signing reduce turnaround and support compliance in investigations.

Optica Ventures LLC

Optica formalized procedures for remote verification and automated notifications

  • detection rules reduced manual review workload
  • The interface is simple and easy-to-use for our team; more importantly, it is just as easy for our customers.

Martin Properties

Property manager standardized tenant identity checks and response templates

  • automated routing cut response time significantly
  • I can process and execute all of these documents online with 100% compliance and built-in security, whether on mobile or working offline.

Frequently Asked Questions About the Program

Answers to common questions about legal validity, notarization, retention, and electronic signatures when using an identity-theft program.


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