Fill and Sign the Identity Theft Office of the Inspector General Social Security Form

SAMPLE LETTER TO REPORT IDENTITY THEFT TO SOCIAL SECURITY ADMINISTRATION DATE Your Name Your Address Your City, State, Zip Code Social Security Administration, Office of Inspector General, SSA Fraud Hotline P.O. Box 17768 Baltimore, Maryland, 21235 Dear Sir or Madam: [For adult/child victims: I am writing to notify you that I am a victim of identity theft that occurred when I was a minor. At the time the identity theft occurred, I was not of legal age and therefore, was not legally able to enter into a contract.] (Include details of when you discovered your identity theft and the approximate age you were when the identity theft began, if known.) [For parents of child victims: I am writing to notify you that I am the parent of a child victim of identity theft. My child is a minor and is not legally able to enter into a contract.] (Include your child’s full name, date of birth and your child’s age at the time you discovered your child’s identity theft.) (Describe in detail any information you have regarding the identity theft, including the alleged identity thief, dates and location of the identity theft and the fraudulent acts themselves, such as misuse of your or your child’s Social Security number to fraudulently obtain employment or Social Security, unemployment or welfare benefits). Enclosed are (include documentation or evidence related to the identity theft, such as copies of your or your child’s birth certificate, ID Theft Affidavit, Social Security earnings record, or Social Security Statement). Sincerely, Your Name Enclosures: (List what you are enclosing.)