|

Print this page FORM landscape format for your convenience.
This worksheet is designed
to guide
you through the following essential steps to assist you with stopping fraudulent use of your
identity and help restore your credit:
√ Contact the three
major credit bureaus
√ Contact your Creditors
√ File a police
report and contact the Federal Trade Commission
√ Stop payment on stolen
checks
√ Contact the Social Security
Administration
|
√
LOST & STOLEN CARD SERVICES- |
Phone Number |
Date
Contacted |
Comments |
| VISA Check Card / ATM Card |
800-523-4175 |
|
|
|
√
Contact the Fraud Departments of the
Three Major Credit Bureaus Explain that you are a victim of
identity theft, and request that a fraud alert be placed in your file,
as well a fraud victim's statement, which asks creditors to call you
before opening any new accounts or making changes to your existing
accounts. Be sure to leave a daytime and evening phone number where you
can be reached. Also, ask for a free copy of your credit report. Order
new copies in a few months to verify that corrections were made and to
make sure new fraudulent activity has not occurred . |
| BUREAU |
Phone Number |
Date
Contacted |
Comments |
| Equifax |
1-800-525-6285 |
|
|
| Experian |
1-888-397-3742 |
|
|
| TransUnion |
1-800-680-7289 |
|
|
| Social Security |
1-800-269-0271 |
|
|
| √
Contact Your Creditors
Promptly contact each of your creditors, including banks, credit card
issuers, phone and utility companies, and other lenders. To protect your
legal rights, follow up with a letter to each. Check for fraudulent
charges and/or changes-of-address on all your accounts. Close any
accounts that have been compromised and open new ones. Be sure to use
different, non-obvious Person Identification Number (PINs) and
passwords. Ask that inquiries related to fraud be removed. |
| Creditor |
Address/Phone |
Date
Contacted |
Contact
Person |
Comments |
√
FILE A POLICE REPORT*:
Be sure to
file a police report with either your local police or the
department in the community where the theft took place.
Then, get a copy of the police report or at the very
least, the number of the report. It can help you deal
with creditors who need proof of the crime. If the
police are reluctant to take your report, ask to file a
"Miscellaneous Incidents" report, or try another
jurisdiction, like your state police. You also can check
with your state Attorney General's office to find out if
state law requires the police to take reports for
identity theft. Check the Blue Pages of your telephone
directory for the phone number or check
www.naag.org for a list of state Attorneys General.
When you go to your local police department to file a
complaint, bring this form and any supporting documentation. Ask the officer to attach
or incorporate the Complaint into their police report.
Also ask the officer to sign the “Law Enforcement
Report” section of your Compliant. If the officer wants
more information about the ID Theft Report, you can tell
them it is available on the FTC’s Web site’s Section for
Law Enforcement at the link for “Identity
Theft Report”. Ask the officer to give you a copy of
the official police report with your ID Theft Complaint
attached or incorporated. (In some jurisdictions the
officer will not be able to give you a copy of the
official police report, but should be able to sign your
Complaint and write the police report number in the “Law
Enforcement Report” section.)
The ID Theft Complaint can be used to supplement an
automated police report. If you can online file an
automated report, complete the “Automated Report
Information” block of the ID Theft Complaint. Attach a
copy of any confirmation received from the police to your
ID Theft Complaint.
|
|
√
File a complaint with
the Federal Trade Commission* (FTC) By sharing your identity
theft complaint with the FTC, you will provide important information
that can help law enforcement officials across the nation track down
identity thieves and stop them. The FTC can refer victims' complaints to
other government agencies and companies for further action, as well as
investigate companies for violations of laws the agency enforces.
You can file a complaint with the FTC using the
online complaint form; or call the FTC's Identity Theft Hotline,
toll-free: 1-877-ID-THEFT
(438-4338); TTY: 1-866-653-4261; or write Identity Theft Clearinghouse,
Federal Trade Commission, 600 Pennsylvania Avenue, NW, Washington, DC
20580.
Be sure to call the Hotline to update your complaint if you have any
additional information or problems. |
| To file per
above numbers: |
Date Contacted |
Contact Person |
| Police Report* |
|
|
|
Federal Trade Commission (FTC)-see number
above* |
|
|
|
√
Stop Payment on Stolen Checks
If your checks have been stolen or misused, contact the bank immediately
to obtain stop payment instructions. Also, you may contact the major
check verification companies listed below to request that they notify retailers
using their databases not to accept these checks. If your ATM/debit card
has been lost, stolen or otherwise compromised, cancel the card and you
will be issued a new card and PIN. |
| Institution |
Phone Number |
Date
Contacted |
Contact
Person |
Comments |
|
Stockgrowers State Bank |
1-620-635-4032
1-800-772-2265 |
|
|
|
|
Meade State Bank
a branch of
Stockgrowers State Bank |
1-620-873-2123 |
|
|
|
| Certigy, Inc |
1-800-437-5120 |
|
|
|
|
Global Payments |
1-800-766-2748 |
|
|
|
|
SCAN |
1-800-262-7771 |
|
|
|
| Additional Needs of Identity Theft Victims |
| Remove fraudulent phone charges (within your state) |
State Public Utility Commission: (Kansas- (800)
662-0027) |
| Remove fraudulent long distance or cellular phone charges |
1-888-225-5322 (1-888-CALL-FCC) |
| Report misuse of your name or Social Security Number to get a
Drivers License |
State Department of Motor Vehicles |
| Americans for Consumer Education & Completion |
www.todaysmoneymatters.org |
| Report stolen mail that has been used to obtain new accounts |
U.S. Postal Inspector |
|