IDENTITY THEFT INCIDENT DETAIL FORM - eastjordancity 2025

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering your full name and address, ensuring all details are accurate for effective communication.
  3. Fill in your contact information, including home and cell phone numbers, as well as your email address. This is crucial for follow-up.
  4. Provide your Social Security number and driver's license number. Ensure these are correct to avoid any issues.
  5. In the 'IDENTITY THEFT QUESTIONS' section, detail how you became aware of the identity theft and list any fraudulent activities you have encountered.
  6. For each question regarding stolen documents or compromised accounts, provide thorough explanations to assist law enforcement in their investigation.
  7. Finally, review all entries for accuracy before signing and dating the form at the bottom. Make sure to keep a copy for your records.

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Form 14039 can also be completed online at . The IRS process for assisting victims selecting Section B, Box 1 below is explained at irs.gov/victimassistance.
Use the ID Theft Affidavit The Federal Trade Commissions ID Theft Affidavit is accepted by the credit bureaus and by most major creditors. Send copies of the completed form to creditors where the thief opened accounts in your name.
Keep copies of all correspondence and reports made to local authorities like the State Police. Promptly filing the affidavit helps protect your tax records and initiates investigations into fraudulent use of your Social Security number.
The Federal Trade Commission (FTC) online at IdentityTheft.gov or call 1-877-438-4338.
INCIDENT INFORMATION Describe in detail the circumstances of the incident. Give a chronological sequence of events. If materials, equipment and/or vehicles were involved, start before they were brought to the incident scene and describe who, what, where, when, how, and why the incident happened in your words below.
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People also ask

If your identity was stolen: Stop interacting with the identity thief. Update your Online Account password. Follow IRS instructions from your letter, notice or representative. Report identity theft. Follow recovery steps on IdentityTheft.gov. Get an identity protection (IP) PIN to protect your tax account.
Dear Sir or Madam: I am a victim of identity theft. I recently learned that my personal information was used to open an account at your company. I did not open or authorize this account, and I therefore request that it be closed immediately.
This affidavit is for victims of identity theft. To avoid delays do not use this form if you have already filed a Form 14039 for this incident. Form 14039 can also be completed online at .