Can I sign an affidavit electronically?

Yes, in most situations an affidavit may be signed electronically if the recipient accepts e-signatures and ESIGN/UETA requirements are met. For consumer-facing matters, provide any required consumer consent disclosures consistent with 15 U.S.C. §7001.

Do I need a police report to submit an affidavit?

Many creditors and credit bureaus require a police report number to act on an affidavit. File a local police report promptly and include that number to avoid delays in remediation.

Is notarization required for the affidavit?

Some institutions request notarization. When notarization is required, confirm whether remote online notarization (RON) is accepted in your state and by the recipient before completing remote notarization.

What if my name or SSN is recorded incorrectly?

Document the exact mismatch in the affidavit and attach supporting identity documents. For tax-related mismatches, incorrect TINs can trigger backup withholding or penalties under IRC §6721 if not corrected.

Who should I send the completed affidavit to?

Provide the affidavit to the creditor or issuer reporting the fraudulent activity, each credit bureau that lists the item, and any government agency affected by the theft.

How long should I keep copies?

Retain the affidavit and supporting records for at least three years for IRS-related items and six years for HIPAA-covered health records; longer retention may apply by state or industry rule.

Electronic Signature
Templates
Other
ID Theft Affidavit

ID Theft Affidavit

This template is fully customizable. Edit the text, fill out the fields, and send it for signature. Give it a try!

ID Theft Affidavit

Instructions: Complete this affidavit as soon as possible. Do not send to the FTC or any other government agency.

Victim Information

(1) My full legal name is

(2) (If different from above) When the events described in this affidavit took place, I was known as

(3) My date of birth is

(4) My Social Security number is

(5) My driver’s license or identification card state and number are

(6) My current address is

City State Zip Code

(7) I have lived at this address since

(8) (If different from above) When the events described in this affidavit took place, my address was

City State Zip Code

(9) I lived at the address in Item 8 from until

(10) My daytime telephone number is

My evening telephone number is

How the Fraud Occurred

Check all that apply for items 11 - 17:

(11) I did not authorize anyone to use my name or personal information to seek the money, credit, loans, goods or services described in this report.

(12) I did not receive any benefit, money, goods or services as a result of the events described in this report.

(13) My identification documents were stolen lost on or about

(14) To the best of my knowledge and belief, the following person(s) used my information or identification documents without my knowledge or authorization:

Name (if known)

Address (if known)

Phone number(s) (if known)

Additional information (if known)

Name (if known)

Address (if known)

Phone number(s) (if known)

Additional information (if known)

(15) I do NOT know who used my information or identification documents to get money, credit, loans, goods or services without my knowledge or authorization.

(16) Additional comments:

Victim’s Law Enforcement Actions

(17) (check one) I am am not willing to assist in the prosecution of the person(s) who committed this fraud.

(18) (check one) I am am not authorizing the release of this information to law enforcement for the purpose of assisting them in the investigation and prosecution of the person(s) who committed this fraud.

(19) (check all that apply) I have have not reported the events described in this affidavit to the police or other law enforcement agency. The police did did not write a report.

Agency #1

Officer/Agency personnel taking report

Date of report

Report number, if any

Phone number

Email address, if any

Agency #2

Officer/Agency personnel taking report

Date of report

Report number, if any

Phone number

Email address, if any

Documentation Checklist

(20) A copy of a valid government-issued photo-identification card.

(21) Proof of residency during the time the disputed bill occurred, the loan was made or the other event took place.

(22) A copy of the report you filed with the police or sheriff’s department.

Signature

I certify that, to the best of my knowledge and belief, all the information on and attached to this affidavit is true, correct, and complete and made in good faith.

Signature

Date signed

Notary

If creditors do not require notarization, have one witness (non-relative) sign below.

Witness signature

Printed name

Date

Telephone number

Fraudulent Account Statement

I declare (check all that apply):

As a result of the event(s) described in the ID Theft Affidavit, the following account(s) was/were opened at your company in my name without my knowledge, permission or authorization using my personal information or identifying documents:

Creditor Name/Address

Account Number

Type of unauthorized credit/goods/services provided by creditor

Date issued or opened

Amount/Value provided

During the time of the accounts described above, I had the following account open with your company:

Billing name

Billing address

Account number

What the ID Theft Affidavit Is and when it’s used

An ID Theft Affidavit is a sworn written statement used to report identity theft incidents and to request remediation from financial institutions, credit bureaus, and government agencies. It documents the victim’s identity, the fraudulent activity, accounts affected, and steps already taken, such as a police report. The affidavit supports requests to block, remove, or correct fraudulent entries and to stop collection or reporting of items created by the theft. Many creditors and agencies require a completed affidavit before restoring accounts or removing fraudulent data.

Why completing an ID Theft Affidavit matters

A completed affidavit creates a formal, auditable record to support account restoration, dispute credit reporting, and avoid liability from fraudulent charges. It gives institutions the documentation they need to act and often removes the administrative barrier to reversing theft-related damages.

Who typically prepares and receives this affidavit

Provide the affidavit to creditors, credit bureaus, and any agency or business that requests one to process fraud remediation.

Identity theft victims who are disputing fraudulent accounts with banks or card issuers.
Credit reporting disputes directed to Equifax, Experian, or TransUnion.
Authorized representatives acting for minors or incapacitated adults with proof of authority.

Step-by-step: complete and submit an ID Theft Affidavit

Follow this sequence to prepare an affidavit so institutions can act quickly and without avoidable delays.

01

Gather IDs: Collect government-issued ID and proof of address.
02

Document fraud: List affected accounts, dates, and fraudulent transactions.
03

File police report: Obtain a police report number and summary.
04

Send affidavit: Provide to creditors, bureaus, and agencies with supporting evidence.

How the affidavit moves through remediation channels

A clear routing path speeds resolution. Provide the affidavit to each party that requires a sworn statement.

Local Police: File a police report and obtain a report number.
Creditors: Send affidavit to banks or card issuers with evidence.
Credit Bureaus: Attach affidavit when disputing fraud on credit reports.
Government Agencies: Provide to agencies (e.g., Social Security) when identity misuse occurred.

Typical digital workflow settings for online completion

Configure an online workflow to collect evidence, secure signatures, and provide an audit trail for each recipient.

Field	Configuration
Identity Upload	Require JPG or PDF, max 10 MB
Police Report Number	Text field, required
Signature Capture	Allow typed, drawn, or uploaded signature
Audit Trail	Enable IP, timestamp, and action log

Digital platform requirements and compatibility

Ensure the platform can produce a tamper-evident final record and meets any industry compliance requirements for sensitive data.

Integrations: Salesforce, NetSuite, Google Workspace
Formats: PDF, DOCX, HTML supported
Security: TLS in transit, AES-256 at rest

Core components to include in a professional ID Theft Affidavit

A complete affidavit combines identity proof, incident detail, and a sworn statement. Each section should be clear so reviewers can act without extra requests.

Statement of Facts

Concise sworn narrative of events, including dates, discovery method, and a declaration that items listed are unauthorized.

Identity Proof

Attach government ID and proof of address to validate the claimant’s identity and reduce verification delays.

Accounts and Transactions

Itemize affected accounts, issuer names, account identifiers, and the exact transactions or account openings that are fraudulent.

Police Report Reference

Include police report number and agency name; many institutions require this as a prerequisite for remediation.

Legal Attestation

A signed sworn statement under penalty of perjury attesting to the truth of the allegations and the claimant’s status as victim.

Signature and Date

Signature block with printed name, signature, and date; note notarization or RON if required by the recipient.

Security and compliance considerations to note

Encryption: TLS 1.2/1.3 in transit

Data at Rest: AES-256 encrypted storage

HIPAA: BAA required for PHI

Audit Logs: Capture IP and timestamps

ESIGN / UETA: Legal e-signature framework

Access Controls: Role-based signer permissions

Consequences and legal risks of errors

Delayed Remediation: Missing info delays account restoration

Rejection by Creditor: Unsigned or unnotarized affidavits may be refused

False Statement Exposure: Perjury risk for knowingly false claims

Tax Reporting Penalties: Incorrect TIN info can trigger IRC §6721

I-9 Impacts: Employment records may require correction

Record Loss: Poor retention risks future disputes

Common preparation mistakes to avoid

Submitting incomplete identity documentation or a photo that does not match the affidavit name delays processing and verification.
Using vague incident descriptions without dates or account numbers forces institutions to request clarifications, extending resolution time.
Failing to include the police report number or agency contact information often prevents creditors from acting on the affidavit.
Signing the affidavit before notarization or using an uncertified online notarization in a state that restricts RON can invalidate the affidavit.

Timing guidance and expected processing steps

Act promptly after discovering identity theft; timely submission improves the chance of removing fraudulent activity and limits consumer liability.

Report Immediately:

File a police report as soon as identity theft is discovered.

Notify Creditors:

Send affidavit to affected creditors right away to stop ongoing charges.

Dispute with Bureaus:

Provide affidavit when disputing items with credit reporting agencies.

Follow-Up:

Expect creditors to request additional documents within days to weeks.

Resolution Window:

Resolution timelines vary; monitor accounts for at least 90 days.

Comparing eSignature pricing and core features for affidavit workflows

Platform pricing and feature sets affect ongoing cost and compliance capability; signNow is listed first to match the comparison order requirement.

	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 free trial	No	No	Yes, limited	Yes, limited
Bulk Send	Yes	Yes	Yes	Yes	No
Audit Trail	Yes	Yes	Yes	Yes	Yes
HIPAA Compliant	Yes	Yes	Yes	No	No

Frequently asked questions about the ID Theft Affidavit

Answers to common questions about signing, notarization, submission, and recordkeeping for ID Theft Affidavits.

Need help? Contact support

Can I sign an affidavit electronically?
Yes, in most situations an affidavit may be signed electronically if the recipient accepts e-signatures and ESIGN/UETA requirements are met. For consumer-facing matters, provide any required consumer consent disclosures consistent with 15 U.S.C. §7001.
Do I need a police report to submit an affidavit?
Many creditors and credit bureaus require a police report number to act on an affidavit. File a local police report promptly and include that number to avoid delays in remediation.
Is notarization required for the affidavit?
Some institutions request notarization. When notarization is required, confirm whether remote online notarization (RON) is accepted in your state and by the recipient before completing remote notarization.
What if my name or SSN is recorded incorrectly?
Document the exact mismatch in the affidavit and attach supporting identity documents. For tax-related mismatches, incorrect TINs can trigger backup withholding or penalties under IRC §6721 if not corrected.
Who should I send the completed affidavit to?
Provide the affidavit to the creditor or issuer reporting the fraudulent activity, each credit bureau that lists the item, and any government agency affected by the theft.
How long should I keep copies?
Retain the affidavit and supporting records for at least three years for IRS-related items and six years for HIPAA-covered health records; longer retention may apply by state or industry rule.

Explore Templates

Arizona Quit Claim Deed Tenancy in Common Deed Trust to Husband and Wife Gun Trust with ATF Form 1 Warranty Deed Horse Boarding Agreement and Liability Release

be ready to get more

Join over 28 million airSlate SignNow users

Sign Now