Fill and Sign the Letter Report Theft Form

SAMPLE LETTER TO LAW ENFORCEMENT TO REPORT IDENTITY THEFT BY KNOWN IMPOSTER DATE Your Name Your Address Your City, State, Zip Code Name of Local, State or Federal Law Enforcement Agency Address City, State, Zip Code Dear Sir or Madam: I am writing to notify you that I have become a victim of identity theft and to request an identity theft report. (Provide your identifying information, including full legal name, date of birth, social security number, driver’s license or identification card number, address and telephone number) . My identifying information was [stolen or lost] on or about [enter approximate date identity theft took place]. I have evidence that [enter name of identity thief] used my personal information, including (describe what identifying information was used) to (describe the fraudulent acts that occurred such as using your identity to obtain money, credit, loans, goods or services) . (Describe how you learned of the fraudulent acts and provide information regarding your identity thief such as full legal name, address, phone number and relationship to you) . I did not authorize [enter name of identity thief] to use my identifying information to obtain money, credit, loans, goods or services, nor did I receive any benefit, money, goods or services as a result of the fraudulent activity. Enclosed are (include documentation or evidence related to the identity theft, such as copies of your ID Theft Affidavit, debt collection letters and credit reports). Please issue and forward to me a police report for identity theft. Sincerely, Your Name Enclosures: (List what you are enclosing.)