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This ID Theft Affidavit is used to provide information to companies where an account was fraudulently opened using your identiy.

To make certain that you do not become responsible for the debts incurred by the identity thief, you must provide proof that you didn't create the debt to each of the companies where accounts were opened or used in your name. This ID Theft Affidavit can be used to help you report information to any company, creditor, or bank where the unauthorized account was opened.

Many companies may accept this affidavit, others may require that you submit more or different forms. Before you send the affidavit, contact each company to find out the preferred form.

You can use this affidavit where a NEW ACCOUNT was opened in your name. The information will enable the companies to investigate the fraud and decide the outcome of your claim. (If someone made unauthorized charges to an EXISTING ACCOUNT call the company to find out what you must do.)

If you cannot complete the affidavit, a legal guardian or someone with power of attorney may complete it for you. Except as noted, the information you provide will be used only by the company to process your affidavit, investigate the events you report and help stop further fraud. If this affidavit is requested in a lawsuit, the company might have to provide it to the requesting party.

The ID Theft Affidavit has two parts:

  • ID Theft Affidavit is where you report general information about yourself and the theft, and
    • Fraudulent Account Statement is where you describe the fraudulent account(s) opened in your name.
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