Fill and Sign the Letter Report Theft Sample 497329008 Form

SAMPLE LETTER TO REPORT KNOWN IMPOSTER IDENTITY THEFT TO OTHER ENTITIES DATE Your Name Your Address Your City, State, Zip Code Your Account Number Name of Entity Address City, State, Zip Code [For student loan fraud: School or Program or U.S. Department of Education] [For phone fraud: Telephone Service provider, Public Utility Commission or Federal Communications Commission] [For passport fraud: U.S. Department of State] [For FTC: FTC Identity Theft Clearinghouse] Dear Sir or Madam: I am writing to notify you that I am a victim of identity theft. (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 and any corrective actions, if applicable, you are requesting the particular entity take regarding your identity theft). (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) . Enclosed are copies of (include documentation or evidence related to the identity theft, such as copies of your police or identity theft report and ID Theft Affidavit). Sincerely, Your Name Enclosures: (List what you are enclosing.)