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Identity Theft via the U.S. Mail

If you would like to add additional information to an existing complaint, please click on the link: additional information.


Complainant/Victim Information

*First Name   Middle    *Last 
Company
*Address
*City   *State 
Country
*ZIP
*Home Phone   ex. 555-555-5555
Work Phone
*E-Mail

Address used for Fraud

First Name   Middle    Last 
Company
Address
City   State     
Country
ZIP

How was your identity compromised?



How did you find out about it?

If the complaint involves financial information, such as credit card or checking accounts, provide the following information




Suspect Information

Provide the following information, if available:

First Name   Middle    Last 
Address
City   State     
Country
ZIP

Gender Weight
Height (Feet) Height (Inch)
Eye Color Hair Color
Age Race
Clothing Description
Other Details

Suspect Vehicle

Make Model Year
Color Tag No.

Were Police Notified?

  Police Report No.  Police Dept.


Description of Complaint