Fraud Worksheet
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:
| 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 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.
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 by calling their Identity Theft Hotline, toll-free: 1-877-ID-THEFT (438-4338) 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 |
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| Meade State Bank a branch of Stockgrowers State Bank |
1-620-873-2123 | |||
| Certigy, Inc | 1-800-437-5120 |
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| SCAN | 1-800-262-7771 |
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√ 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 |
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