Identity Theft Complaint Form

Complete the form below to file a complaint with the Attorney General's Consumer Protection Division.

Please understand that the Attorney General is not your private attorney, but enforces state consumer protection laws. By submitting this form you agree to testify in court to the facts stated in this complaint.

A PDF version is available for printing and mailing.

YOUR CONTACT INFORMATION

First Name (required)

Last Name (required)

Street Address (required)

City (required)

State (required)

ZIP Code (required)

Phone (required)

Email (required)

What date did you first become aware of the identity crime? (required)

When did the fraudulent activity begin? (required)

What is the full name, address and other identifying information that the fraudulent activity was made under?

Please list all fraudulent activity that you are aware of to date, with the locations and addresses of where the fraudulent applications or purchases were made. List in chronological order, if possible. (required)

If you selected other above, please explain.

Do you have any information on a suspect in this identity crime case? If so, please provide as much information as possible about the suspect, including the suspect's full name, phone number and address.

Full Name

Full Address

How do you believe the identity crime occured?

Please list any government documents fraudulently obtained in your name.
(driver's licenses, Social Security cards, etc.)

Have you contacted the following organizations and requested a Fraud Alert be put on your account?
(Check all that apply.)

Equifax. Include date below.
TransUnion. Include date below.
Experian. Include date below.
Your bank. Including names of banks below.
Department of Motor Vehicles.
Social Security Administration.
Other. Include name of organization and dates below.

Please list any date(s) and names of organizations you requested above.

Have you requested a credit report from each of the three credit bureaus? Check all that apply.

Equifax
TransUnion
Experian

BY SUBMITTING THIS COMPLAINT, I UNDERSTAND THAT:
The Attorney General is not my private attorney, but enforces state consumer protection laws and I will testify in court to the facts stated in this complaint.

I ATTEST TO THE ACCURACY OF STATEMENTS MADE IN THIS COMPLAINT.

IDENTITY THEFT COMPLAINT FORM

YOUR CONTACT INFORMATION

COMPLAINT DETAILS

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