Federal Trade Commission Affidavit regarding Identity Theft

State:
Multi-State
Control #:
US-00701
Format:
PDF
141 downloads

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What is this form?

The Federal Trade Commission (FTC) Affidavit regarding Identity Theft is a legal document designed for individuals who have fallen victim to identity theft. This form allows victims to formally report unauthorized debts incurred by identity thieves to credit bureaus, creditors, banks, and law enforcement. While similar forms exist, this affidavit is specifically endorsed by the FTC to assist victims in defending against fraudulent debts and facilitate their resolution.

Main sections of this form

  • Victim Information: Full legal name, social security number, and other identifying details.
  • ID Theft Affidavit: General information about the victim and the identity theft incident.
  • Fraudulent Account Statement: Detailed descriptions of accounts opened or used fraudulently.
  • Law Enforcement Actions: Details on any reports filed with the police and willingness to cooperate in prosecution.
  • Documentation Checklist: List of supporting documents that can be submitted with the affidavit.
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  • Preview Federal Trade Commission Affidavit regarding Identity Theft
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  • Preview Federal Trade Commission Affidavit regarding Identity Theft
  • Preview Federal Trade Commission Affidavit regarding Identity Theft
  • Preview Federal Trade Commission Affidavit regarding Identity Theft

When to use this document

This form should be used when you discover that your identity has been stolen and unauthorized accounts or debts have been incurred in your name. It is essential to act quickly, as many creditors require notification within two weeks of the identity theft being identified. Use this affidavit to formally dispute any fraudulent charges and to notify relevant companies and institutions of the theft.

Intended users of this form

This affidavit is intended for:

  • Individuals who have been victims of identity theft.
  • People needing to report fraudulent use of their personal information to creditors and law enforcement.
  • Anyone seeking to resolve issues related to debts that were not incurred by them.

Instructions for completing this form

  • Provide your full legal name and any previous names used.
  • Fill out your date of birth, social security number, and a valid form of identification.
  • Complete the ID Theft Affidavit section, detailing the identity theft incident.
  • List all fraudulent accounts in the Fraudulent Account Statement section, including information on each account.
  • Attach copies of any supporting documentation as specified in the checklist.
  • Sign and date the affidavit, and include a witness signature if required.

Notarization guidance

This form does not typically require notarization unless specified by local law. However, some creditors may require a notarized affidavit. It is advisable to check with each creditor regarding their specific submission requirements.

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If this form requires notarization, complete it online through a secure video call—no need to meet a notary in person or wait for an appointment.

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We protect your documents and personal data by following strict security and privacy standards.

Common mistakes

  • Failing to provide accurate and complete information, which can delay the resolution process.
  • Not providing supporting documentation as required.
  • Sending the affidavit to the FTC or other government agencies, which is not required.
  • Delaying submission to creditors which can hinder the investigation of fraudulent accounts.
  • Neglecting to keep copies of all documents sent for your records.

Why use this form online

  • Convenience of instant access to download and complete the affidavit from anywhere.
  • Editable format allows for accurate and personalized completion of all necessary details.
  • Online forms often come with guidance to help ensure completeness and accuracy.
  • Secure storage of completed documents for easy retrieval when needed.

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FAQ

You can call the Federal Trade Commission (FTC) at 1-877-438-4338 or TDD at 1-866-653-4261, or online at http://www.consumer.ftc.gov/features/feature-0014-identity-theft to report identity theft.

A copy of your FTC Identity Theft Report. a government-issued ID with a photo. proof of your address (mortgage statement, rental agreement, or utilities bill) any other proof you have of the theft (bills, IRS notices, etc.)

The FTC's IdentityTheft.gov can assist attorneys who counsel identity theft victims. The site provides victims with a personal recovery plan, walking through each step to take. It also provides pre-filed letters and forms to send to credit bureaus, businesses, and debt collectors.

File a claim with your identity theft insurance, if applicable. Notify companies of your stolen identity. File a report with the FTC. Contact your local police department. Place a fraud alert on your credit reports. Freeze your credit. Sign up for a credit monitoring service, if offered.

The FTC cannot resolve individual complaints, but it can provide information about what steps to take. The FTC says that complaints can help it and its law enforcement partners detect patterns of fraud and abuse, which may lead to investigations and stopping unfair business practices.

Report Identity Theft. Report identity (ID) theft to the Federal Trade Commission (FTC) online at IdentityTheft.gov or by phone at 1-877-438-4338.

Go to your local police office with: Tell the police someone stole your identity and you need to file a report.

Answer. If someone is using your personal information to open new accounts, make purchases, or get a tax refund, report it at IdentityTheft.gov. IdentityTheft.gov will help you create your Identity Theft Report and a personal recovery plan based on your situation.

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Federal Trade Commission Affidavit regarding Identity Theft