Identity Theft Complaint Form
Identity theft has become such a common crime but it is a violation of your personality. It tarnishes your name and is a form of fraud. It is vital that you report this crime immediately. You need to fill out an identity theft complaint form especially incase of a lawsuit.
Name: __________________________________________________________________
Address: ________________________________________________________________
Tel: ____________________________________________________________________
Mobile: ___________________________________________________________________
Email: __________________________________________________________________
Date your identity was stolen: _______________________________________________
How did you discover your identity had been stolen? _____________________________
_______________________________________________________________________
Describe purchases or transactions made with your stolen identity:
Purchase/transaction Date
________________________________________________________ ____________
________________________________________________________ ____________
________________________________________________________ ____________
________________________________________________________ ____________
________________________________________________________ ____________
Give details of any suspects you might consider responsible of this crime:
Name Relationship Location
__________________________ ____________________ __________________
__________________________ ____________________ __________________
__________________________ ____________________ __________________
__________________________ ____________________ __________________
__________________________ ____________________ __________________
Name companies/ organizations you have informed about your stolen identity:
Name Date
________________________________________________________ ____________
________________________________________________________ ____________
________________________________________________________ ____________
________________________________________________________ ____________
________________________________________________________ ____________
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