Type text, add images, blackout confidential details, add comments, highlights and more.
02. Sign it in a few clicks
Draw your signature, type it, upload its image, or use your mobile device as a signature pad.
03. Share your form with others
Send fraud affidavit via email, link, or fax. You can also download it, export it or print it out.
How to use or fill out affidavit of fraud with our platform
Ease of Setup
DocHub User Ratings on G2
Ease of Use
DocHub User Ratings on G2
Click ‘Get Form’ to open the affidavit of fraud in the editor.
Begin by entering your account number and debit card number at the top of the form. This information is crucial for identifying your case.
Select the appropriate box indicating how your debit card was compromised: Lost, Never received in mail, Stolen, or Account Number Used while still in possession.
If applicable, indicate whether a police report was filed by checking the corresponding box and providing the report number and police agency details.
List all unauthorized transactions under 'Transactions' by entering the date, amount, and merchant for each fraudulent activity.
Indicate whether you can identify the suspect or if you have no knowledge of their identity. If you can identify them, provide their name, address, relationship to you, and contact information.
Sign and date the affidavit at the bottom to certify that all information provided is true. Include your email address and contact phone number for follow-up.
Start filling out your affidavit of fraud online for free today!
Affidavit of fraud pdfAffidavit of fraud templateHow to get a affidavit of fraudForm 14039Form 14039 onlineFTC identity theft Affidavit PDFIdentity theft Affidavit form PDF free14039 identity theft Affidavit
Security and compliance
At DocHub, your data security is our priority. We follow HIPAA, SOC2, GDPR, and other standards, so you can work on your documents with confidence.
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.Read more
Cookie consent notice
This site uses cookies to enhance site navigation and personalize your experience.
By using this site you agree to our use of cookies as described in our Privacy Notice.
You can modify your selections by visiting our Cookie and Advertising Notice.