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If youre not sure of the victims identity, the FCRA allows you to ask for proof of identity, such as a copy of a government-issued identification. You also may ask for proof of a claim of identity theft, such as an Identity Theft Report issued by the FTC or a police report.
This affidavit has two parts: Part One the ID Theft Affidavit is where you report general informa- tion about yourself and the theft. Part Two the Fraudulent Account Statement is where you describe the fraudulent account(s) opened in your name.
FTC ID Theft Affidavit The FTC provides an ID Theft Affidavit to help victims of identity theft quickly and accurately dispute new unauthorized accounts. It is especially helpful in cases where consumers are unable to file or obtain a police report.
I am a victim of identity theft, and I did not make [this/these] charge(s). I request that you remove the fraudulent charge(s) and any related finance charge and other charges from my account, send me an updated and accurate statement, and close the account (if applicable).
Visit ftc.gov/idtheft to use a secure online version that you can print for your records. Before completing this form: Place a fraud alert on your credit reports, and review the reports for signs of fraud.
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To complete the FTCs Identity Theft Affidavit, you need to provide personal data including your Social Security number, address and contact information. You also will need to provide your drivers license number or information from another government-issued ID.
This affidavit has two parts: Part One the ID Theft Affidavit is where you report general informa- tion about yourself and the theft. Part Two the Fraudulent Account Statement is where you describe the fraudulent account(s) opened in your name.
The identity theft statement helps you to notify the financial institutions, credit card issuers or other companies of what has happened, and provide information to help them investigate your claim. Through that investigation, each company will determine whether to absolve you of the charges or debt.

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