Identity Theft

Resource Guide

Missouri Attorney General

JOSH HAWLEY
IDENTITY THEFT RESOURCE GUIDE JUNE 2017 1
MAY 2017 IDENTITY THEFT RESOURCE GUIDE
 Table of Contents
Introduction....................................................................................................................................................................2
Types of Identity Theft...............................................................................................................................................3
Checklist to Help Prevent Identity Theft
Help prevent all types of identity theft........................................................................................................6
Extra steps to help prevent medical identity theft..................................................................................7
Extra steps to help prevent tax fraud identity theft................................................................................8
Checklist If You Think Youre a Victim of Identity Theft
Steps to take if you think youre a victim of any type of identity theft.............................................9
Extra steps to take if you think youre a victim of medical identity theft......................................10
Extra steps to take if you think youre a victim of tax fraud identity theft....................................10
Credit monitoring service...............................................................................................................................11
Appendix A - Identity Theft Victims Complaint and Affidavit.....................................................................12
Appendix B - Worksheets.........................................................................................................................................19
Appendix C - Sample Letters..................................................................................................................................21
Appendix D - Enclosures..........................................................................................................................................24
Appendix E - Credit Reporting...............................................................................................................................28
Appendix F - Additional Contact Information and Other Resources.......................................................30

IDENTITY THEFT RESOURCE GUIDE JUNE 2017 1

 Introduction

O
ne of the fastest growing crimes in the United States is identity theft. Identity theft
is a form of taking, accessing, or using someones personal information such as their
name, social security number, account number, or payment card number, without their
permission, pretending to be someone else by assuming anothers identity, or creating a fake
identity or account.
This identity theft resource guide provides you with detailed information to help you prevent
the theft of your identity and outlines the action you should take to repair damage caused by
identity theft. I urge you to study the information and share it with family and friends. It can
greatly reduce your risk of becoming a victim.
My office will continue to work to safeguard Missourians from identity theft. If you have
questions or comments, please do not hesitate to contact us at www.ago.mo.gov or
800-392-8222.

Respectfully,

Joshua D. Hawley
Attorney General

2 JUNE 2017 IDENTITY THEFT RESOURCE GUIDE

 Types of Identity Theft

I
dentity theft is when someone wrongfully obtains and uses your private identifying
information, usually for financial gain. Identity thieves are resourceful: they rummage through
your garbage, the trash of businesses, or public dumps. They may work or pretend to work
for legitimate companies, medical offices, clinics, pharmacies, or government agencies, or
convince you to reveal personal information. Some thieves pretend to represent an institution
you trust, and try to trick you into revealing personal information by email or phone. Once
identity thieves have your personal information, they can drain your bank account, run up
charges on your credit cards, open new utility accounts, or get medical treatment on your health
insurance. An identity thief can file a tax refund in your name and get your refund. In some
extreme cases, a thief might even give your name to the police during an arrest.
There are several types of identity theft:
1. Financial Identity Theft
Financial identity theft occurs when someone uses anothers identity to obtain money,
credit, goods, or services.
Someone may actually steal your credit card or debit card, or they may steal your credit
card number or bank account number to access your money.
2. Tax Fraud Identity Theft
Tax fraud occurs when an identity thief uses a taxpayers stolen identity to file a fraudulent
return and claim the identity theft victims tax refund. The identity thief will use a stolen
Social Security number and consumer information to file a forged tax return early in the
filing season before the victim does. The scammer then receives the victims refund before
the IRS processes the real filing. To help prevent tax fraud, file your tax returns early and,
if you have someone help you with your return, use a reputable tax return preparation
company.
You may be notified when you file your state or federal tax return that a return has already
been filed in your name.
If you receive mail from the Missouri Department of Revenue or the federal Internal
Revenue Service and you do not understand it, call our Office at 800-392-8222.
3. Medical Identity Theft
Medical identity theft occurs when someone uses anothers identity to obtain medical care
or drugs.
You may receive an invoice or a collection notice for services you did not obtain.
Contact the provider of the service and explain it was not you in order to dispute the
charge and to correct any inaccuracies in your medical history.

IDENTITY THEFT RESOURCE GUIDE JUNE 2017 3

 4. Insurance Identity Theft
Insurance identity theft occurs when someone uses your information to obtain insurance
coverage or benefits or to obtain health care services and products. Auto insurance,
personal property insurance, and health insurance are all subject to abuse.
As an example, someone might open an insurance policy using your identification
information.
It is often intertwined with medical identity theft or financial identity theft.
If someone is using your information, you might be subject to higher premiums or even
become unable to obtain insurance for you and your family.
5. Synthetic Identity Theft
Synthetic identity theft occurs when someone uses various data elements of others in
order to create a synthetic, or fake, person.
When the credit files of unrelated consumers become mixed so that the credit file contains
data which should be attributed to one person and not the other, it can be considered
synthetic identity theft.
Your credit report may show loans or lines of credit that do not belong to you, and if
delinquent, it may negatively impact your ability to get credit or more favorable rates.
6. Drivers License Identity Theft
Drivers license identity theft occurs when someone obtains a drivers license using your
personal information.
You may lose your license or be unable to renew it if the thief has obtained a license using
your information.
The thief may accumulate traffic violations which will appear on your driving record.
If you are a victim, obtain a copy of your driving record from your states Department of
Motor Vehicles and correct any errors.
File a fraud report with the DMV enforcement office in the state you live in and report the
bad record to local law enforcement.
7. Criminal Identity Theft
Criminal identity theft occurs when someone poses as another person when being
investigated or apprehended for a crime.
An imposter may give another persons name and personal information such as a drivers
license, date of birth, or Social Security number (SSN) to a law enforcement officer, often
that of a friend or relative.
A warrant may be wrongly issued for your arrest or you may be wrongly accused of a crime.
You could be denied a passport or a job.

4 JUNE 2017 IDENTITY THEFT RESOURCE GUIDE

 8. Social Security Identity Theft
Social Security identity theft occurs when someone uses your Social Security Number (SSN)
to start a new life.
There can be as many as 20 different users of one SSN.
Fill out the Social Security Administrations online complaint form or call them at
1-800-269-0271 to report the activity.
9. Child Identity Theft
Child identity theft occurs when the childs Social Security number is used to apply for
government benefits, open bank and credit card accounts, apply for a loan or utility service,
or rent a place to live.
Request your childs credit report to see if your childs information is being misused.
With more and more minors online, either playing games or on social networking sites, be
sure to talk to your kids about being safe online.
If your childs information was exposed in a data breach, consider enrolling them for a free
credit report monitoring service. This may help check for accounts opened in the minors
name.
If a credit file exists, request that the credit reporting agency freeze the file and block the
fraudulent items.

IDENTITY THEFT RESOURCE GUIDE JUNE 2017 5

 Checklist to Help Prevent Identity Theft
HELP PREVENT ALL TYPES OF IDENTITY THEFT
1. Use a paper shredder to destroy financial documents or other documents with personal
information, including receipts, credit applications, and bank statements.
2. Dont carry your Social Security card with you or write it on a check. Place the card in a safe
place, and only give your number out when absolutely necessary. Consider asking to use
another identifier for accounts.
3. Dont share personal information with anyone you dont trust. Before sharing it with
businesses or at the workplace, ask why they need it, how they will safeguard it, and the
consequences of not sharing. If you arent comfortable with their answer, take your business
elsewhere.
4. Dont over-share on social networking sites. If you post too much information about your life,
identity thieves can piece together enough information to answer challenge questions on
your accounts, and possibly access your bank accounts or even construct a false identity that
mirrors your life. Consider limiting access to your networking page to only a small group of
people. Never post information that could identify you, like your Social Security number or
even your full name, on websites that the public can access. Dont post the year of your birth
if you decide to post your birthday.
5. Change your passwords every 60 days and make them strong (more difficult to crack) by
using a combination of upper case, lower case, numbers, and symbols. Avoid using your birth
date, mothers maiden name, last four digits of your Social Security number, family names, or
other obvious identifying words or numbers.
6. Order a free copy of your credit report from each of the three credit bureaus each year:
Experian, Transunion, and Equifax. It contains information about what credit accounts have
been opened in your name, as well as where you live and work, how you pay your bills, if
youve been sued, arrested, or filed for bankruptcy. You are entitled to one free report each
year from each of the three major bureaus, for a total of three free credit reports. Consider
spreading these three reports out over the year so that you can review an up-to-date, free
credit report once every few months.
7. Watch your billing cycles closely. If a bill is late, check with your creditors to see why it has not
arrived, and watch for any unauthorized charges or unexpected account statements.
8. Have your mail sent to a post office box or get a locking mailbox. Also take outgoing mail to
the post office. When you travel, have a trusted friend pick up your mail.
9. Only use a secure connection on the Internet when sending credit card numbers or other
personal information. The website should begin with https instead of just http, because the
s means secure.
10. Use virus protection and a firewall program to prevent your computer from being accessed
by others, and keep them up to date. Run your virus scan on a regular basis. Dont download

6 JUNE 2017 IDENTITY THEFT RESOURCE GUIDE

 files or click on links from unknown sources. Instead, type in a web address you know. Also,
unplug or close your Internet connection when youre not using it.
11. Keep your personal information in a secure place at home, especially if you have roommates,
and employ only trusted outside help if you are having work done at your home.
12. Opt out of pre-approved credit card offers and receive fewer solicitations at home by calling
888-567-8688 or visiting www.optoutprescreen.com.
13. Destroy the labels on prescription bottles before you throw them away. Dont share your
health plan information with anyone offering free health services or products.
14. Stay on the lookout for suspicious behavior and occurrences, such as unusual email or
impersonators asking for your personal information. If youre not absolutely certain youre
speaking with a real employee, do not give out any of your personal information. Instead,
hang up and call them directly. These concepts also apply to email. Do not be tricked into
sending personal information to a fake business or someone you do not know. Companies
you do business with will not ask you for personal information by email. Do not open
email from people or companies that you do not recognize.
15. Password protect your cell phone and other devices. Its easy to lose your cell phone. And if a
criminal gets it, your cell phone provides an easy way to commit identity theft with the apps
and other information it stores.
16. Before you sell or dispose of a computer or mobile device, get rid of all the personal
information it stores. For computers, use a wipe utility program to overwrite the entire hard
drive. For mobile devices, check your owners manual, the service providers website, or the
device manufacturers website for information on how to delete information permanently,
and how to save or transfer information to a new device. Remove the memory or subscriber
identity module (SIM) card from a mobile device. Remove the phone book, lists of calls made
and received, voicemails, messages sent and received, organizer folders, web search history,
and photos.
17. Read any notices that are sent to you by mail that describe the way your data might have
been exposed in a data breach. If you need help understanding the letter or want to confirm
that the data is real, you can contact our Office at www.ago.mo.gov or 800-392-8222.
18. Beware of imposter websites and emails that look similar to real sites. If a site or email has
poor grammer, typos, or logos that are not quite right, it could be an imposter site or spoof
email. Again, be cautious when clicking on links because these could be attempts to trick
you.

EXTRA STEPS TO HELP PREVENT MEDICAL IDENTITY THEFT

19. Make sure youve taken all steps above to Help prevent all types of identity theft.
20. Remember that your medical and insurance information are very valuable to identity thieves,
so do not hand it out unnecessarily.

IDENTITY THEFT RESOURCE GUIDE JUNE 2017 7

 21. Dont share medical or insurance information by phone or email unless you initiated the
contact and know who youre dealing with.
22. Be suspicious of people offering free health services or products, especially if they ask you to
provide your health plan ID number or other insurance information. Medical identity thieves
may pretend to work for an insurance company, doctors office, clinic, or pharmacy to try to
trick you into revealing your personal information.
23. Keep paper and electronic copies of your medical and health insurance records in a safe place.
Shred outdated health insurance forms, medical statements, receipts, and the labels from
prescription bottles before you throw them out.

EXTRA STEPS TO HELP PREVENT TAX FRAUD IDENTITY THEFT

24. Make sure youve taken all steps above to Help prevent all types of identity theft.
25. File your tax returns as early as possible.
26. Request a Personal Identification Number, or PIN, from the IRS. This can help prevent
scammers from filing a federal return in your name. Other PIN numbers help consumers make
secure payments on amounts owed to the IRS.
27. Consumers with questions about whether a contact from the IRS is authentic should call the
IRS toll-free number (1-800-829-1040) to confirm.
28. Keep copies of all your tax records in a secure location.
29. Check your credit reports and other records for accuracy. Check your banking records daily or
weekly.
30. Report the improper use of your Social Security number to the Social Security Administration
at their fraud hotline (1-800-269-0271) or their website at http://oig.ssa.gov.

8 JUNE 2017
January 2016 IDENTITY
IDENTITY THEFTTHEFT RESOURCE
RESOURCE GUIDE
GUIDE
 Checklist If You Think Youre a Victim of
Identity Theft
STEPS TO TAKE IF YOU THINK YOURE A VICTIM OF ANY TYPE OF
IDENTITY THEFT
1. Order a copy of your credit report from one or more of the three credit bureaus. Check for
credit accounts that you didnt open, debts you didnt know about, inquiries from companies
you dont know, or any other incorrect or suspicious information.
2. Dispute any fraudulent charges or accounts.
Sample dispute letter for existing accounts [See Appendix C]
Sample dispute letter for new accounts [See Appendix C]
Sample Request for Fraudulent Transaction/Account Information [See Appendix C]
3. Place a fraud alert on your credit report with all three of the credit reporting agencies, which
tells creditors to follow certain procedures before they can open new accounts in your name
or make changes to existing accounts (calling and alerting one bureau will place an alert to all
three).
4. Close any accounts that you think have been tampered with or opened fraudulently. If you
will continue to use an account, make sure that you are using a new account number.
5. Change all of your passwords, especially if you use the same passwords on multiple websites.
When creating new passwords, use a different password for each website, and use passwords
that are hard to guess. Be sure that your passwords have a combination of letters, numbers,
and special symbols.
6. Call the security or fraud departments of each company where an account was fraudulently
opened or changed without your permission; follow up in writing with documents that
support your claim.
7. Complete a Victims Complaint and Affidavit form. [See Appendix A]
8. Keep a log of all your actions, including all telephone calls, letters, other documents, and
deadlines that you encounter. Save copies of all letters and other documents. This information
may become extremely important for resolving the issue.
Credit Bureau and Law Enforcement Worksheet [See Appendix B]
Account Statement and Activity Worksheet [See Appendix B]
9. Block any fraudulent information from your credit report. [Sample letter to block info, See
Appendix C]
10. If you need to fix specific identity theft problems, like stolen checks or passports, phone
fraud, tax fraud, falsified change of address, or other problems, see the Attorney Generals
recommendations and important contact information on page 30 (Appendix F).

IDENTITY THEFT RESOURCE GUIDE JUNE 2017 9

 11. If youve become a victim of identity theft, file a police report with your local police or
sheriffs department.
12. File a complaint with the Attorney Generals Office at www.ago.mo.gov.

EXTRA STEPS TO TAKE IF YOU THINK YOURE A VICTIM OF MEDICAL

IDENTITY THEFT

13. Contact information and other details are available in Appendix F.

14. Obtain copies of your medical bills from your providers to see if there are any services, visits,
or prescriptions that do not belong to you. If you identify any you did not request or obtain,
ask for a copy of the records pertaining to that visit or procedure. You have a right, under
federal law, to know whats in your medical records. Check to see if there are any errors.
15. Get an accounting of disclosures by asking each of your health plans and medical providers
for a copy of the account of disclosures for your medical records. This will tell you who has
received copies of your records. You can receive one free copy from each medical provider
every 12 months.
16. Ask that any errors be corrected. Tell your provider if there is any incorrect information, and
explain what is incorrect. If you have documents that support your explanation, send copies.
Be sure to keep the original copies of everything for yourself, though. If they wont correct
your records, ask that they include in your record a statement of your dispute.
17. The Federal Trade Commission website (www.ftc.gov) offers additional resources for dealing
with medical identity theft.

EXTRA STEPS TO TAKE IF YOU THINK YOURE A VICTIM OF TAX FRAUD

IDENTITY THEFT

18. Make sure youve taken steps 1 through 12 above if you think youre a victim of any type of
identity theft.
19. Report it to the Internal Revenue Service at 800-908-4490. Consumers will need to complete
the form 14039 (www.irs.gov/pub/irs-pdf/f14039.pdf ) and return it to the IRS.
20. Missourians should also report the fraud to the Missouri Department of Revenue at
573-522-4866 or by email to idtheft@dor.mo.gov.
21. The Missouri Attorney Generals Consumer Protection Hotline is available to assist consumers
in reporting identity theft. Missourians can reach the hotline at 800-392-8222 or file a
complaint form (https://ago.mo.gov/civil-division/consumer/identity-theft-data-security/
identity-theft-complaint-form).

10 JUNE 2017 IDENTITY THEFT RESOURCE GUIDE

 CREDIT MONITORING SERVICE

There are a variety of commercial services that, for a fee, will monitor your credit reports for
activity and alert you to changes to your accounts. Prices and services vary widely. Many of
the services only monitor one of the three major consumer reporting companies. If youre
considering signing up for a service, make sure you understand what youre getting before you
buy. Also check out the company with the Better Business Bureau and the Consumer Protection
Division of the Attorney Generals Office to see if any complaints are on file at www.ago.mo.gov.

If you receive a data breach notice, you may be offered free credit monitoring. Details will be in
your notice letter.

IDENTITY THEFT RESOURCE GUIDE JUNE 2017 11

Appendix A
IDENTITY THEFT VICTIMS COMPLAINT AND AFFIDAVIT

Tear out the following Identity Theft Victims Complaint and Affidavit or fill it out online at
www.ftc.gov/idtheft.

Mail a copy of this form and documents to our Office at P.O. Box 899 Jefferson City, MO 65102
or email to consumer.help@ago.mo.gov.

Provide copies of this form and documents to: FTC, police department, credit bureaus, and
attach to letters disputing fraudulent charges or acts.

Keep a copy for your records.

 Average time to complete: 10 minutes

Identity Theft Victims Complaint and Affidavit

A voluntary form for filing a report with law enforcement, and disputes with credit reporting agencies and creditors about
identity theft-related problems. Visit ftc.gov/idtheft to use a secure online version that you can print for your records.

Before completing this form:

1. Place a fraud alert on your credit reports, and review the reports for signs of fraud.
2. Close the accounts that you know, or believe, have been tampered with or opened fraudulently.

About You (the victim)

Now
(1) My full legal name: ________________________________________________
Leave (3)
**
blank until
First Middle Last Suffix you provide
(2) My date of birth: __________________ this form to
mm/dd/yyyy someone with
a legitimate
(3)
** My Social Security number: ________-______-__________ business need,
like when you
(4) My drivers license: _________ ___________________ are filing your
State Number report at the
police station
(5) My current street address: or sending
____________________________________________________________________________ the form
Number & Street Name Apartment, Suite, etc. to a credit
reporting
_______________________________________________________________ agency to
City State Zip Code Country correct your
credit report.
(6) I have lived at this address since ____________________
mm/yyyy
(7) My daytime phone: (____)___________________
My evening phone: (____)___________________
My email: ______________________________________

At the Time of the Fraud

Skip (8) - (10)
(8) My full legal name was: ____________________________________________ if your
First Middle Last Suffix information
has not
(9) My address was: _________________________________________________ changed since
Number & Street Name Apartment, Suite, etc. the fraud.

_______________________________________________________________
City State Zip Code Country

(10) My daytime phone: (____)_________________ My evening phone: (____)_________________

My email: _____________________________________

The Paperwork Reduction Act requires the FTC to display a valid control number (in this case, OMB control #3084-0047)
before we can collect or sponsor the collection of your information, or require you to provide it.

H-1
Victims Name _______________________________ Phone number (____)_________________ Page 2

About You (the victim) (Continued)

Declarations
(11) I did OR did not authorize anyone to use my name or personal information to
obtain money, credit, loans, goods, or services or for any
other purpose as described in this report.
(12) I did OR did not receive any money, goods, services, or other benefit as a
result of the events described in this report.

(13) I am OR am not willing to work with law enforcement if charges are brought
against the person(s) who committed the fraud.

About the Fraud

(14):
(14) I believe the following person used my information or identification Enter what
documents to open new accounts, use my existing accounts, or commit other you know
fraud. about anyone
you believe
was involved
Name: ___________________________________________________
(even if you
First Middle Last Suffix
dont have
complete
Address: __________________________________________________ information).
Number & Street Name Apartment, Suite, etc.

__________________________________________________________
City State Zip Code Country

Phone Numbers: (____)_______________ (____)________________

Additional information about this person: _____________________________________

_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Victims Name _______________________________ Phone number (____)_________________ Page 3

(15) Additional information about the crime (for example, how the identity thief (14) and (15):
gained access to your information or which documents or information were Attach
used): additional
________________________________________________________________ sheets as
needed.
________________________________________________________________
________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

Documentation
(16): Reminder:
(16) I can verify my identity with these documents: Attach copies
of your identity
A valid government-issued photo identification card (for example, my drivers documents
license, state-issued ID card, or my passport). when sending
If you are under 16 and dont have a photo-ID, a copy of your birth certificate or this form to
a copy of your official school record showing your enrollment and legal address is creditors
acceptable. and credit
reporting
Proof of residency during the time the disputed charges occurred, the loan agencies.
was made, or the other event took place (for example, a copy of a rental/lease
agreement in my name, a utility bill, or an insurance bill).

About the Information or Accounts

(17) The following personal information (like my name, address, Social Security number, or date of
birth) in my credit report is inaccurate as a result of this identity theft:
(A) __________________________________________________________________________
(B) __________________________________________________________________________
(C) __________________________________________________________________________

(18) Credit inquiries from these companies appear on my credit report as a result of this identity
theft:
Company Name: _______________________________________________________________
Company Name: _______________________________________________________________
Company Name: _______________________________________________________________
Victims Name _______________________________ Phone number (____)_________________ Page 4

(19) Below are details about the different frauds committed using my personal information.

(19):
___________________________________________________________________ If there were
Name of Institution Contact Person Phone Extension more than three
___________________________________________________________________ frauds, copy this
Account Number Routing Number Affected Check Number(s) page blank, and
attach as many
Account Type: Credit Bank Phone/Utilities Loan additional copies
as necessary.
Government Benefits Internet or Email Other
Enter any
Select ONE: applicable
This account was opened fraudulently. information that
you have, even if
This was an existing account that someone tampered with.
it is incomplete
___________________________________________________________________ or an estimate.
Date Opened or Misused (mm/yyyy) Date Discovered (mm/yyyy) Total Amount Obtained ($)
If the thief
committed two
types of fraud at
___________________________________________________________________ one company,
Name of Institution Contact Person Phone Extension
list the company
___________________________________________________________________ twice, giving
Account Number Routing Number Affected Check Number(s) the information
about the two
Account Type: Credit Bank Phone/Utilities Loan frauds separately.
Government Benefits Internet or Email Other Contact Person:
Someone you
Select ONE: dealt with, whom
This account was opened fraudulently. an investigator
This was an existing account that someone tampered with. can call about this
fraud.
___________________________________________________________________
Date Opened or Misused (mm/yyyy) Date Discovered (mm/yyyy) Total Amount Obtained ($) Account Number:
The number of
the credit or
___________________________________________________________________ debit card, bank
Name of Institution Contact Person Phone Extension account, loan, or
___________________________________________________________________ other account
Account Number Routing Number Affected Check Number(s) that was misused.
Dates: Indicate
Account Type: Credit Bank Phone/Utilities Loan when the thief
Government Benefits Internet or Email Other began to misuse
your information
Select ONE: and when you
This account was opened fraudulently. discovered the
This was an existing account that someone tampered with. problem.

___________________________________________________________________ Amount Obtained:

Date Opened or Misused (mm/yyyy) Date Discovered (mm/yyyy) Total Amount Obtained ($) For instance,
the total amount
purchased with
the card or
withdrawn from
the account.
Victims Name _______________________________ Phone number (____)_________________ Page 5

Your Law Enforcement Report

(20):
(20) One way to get a credit reporting agency to quickly block identity theft- Check I have
related information from appearing on your credit report is to submit a not... if you have
detailed law enforcement report (Identity Theft Report). You can obtain not yet filed a
an Identity Theft Report by taking this form to your local law enforcement report with law
office, along with your supporting documentation. Ask an officer to witness enforcement or
you have chosen
your signature and complete the rest of the information in this section. Its not to. Check I
important to get your report number, whether or not you are able to file in was unable... if
person or get a copy of the official law enforcement report. Attach a copy of you tried to file
any confirmation letter or official law enforcement report you receive when a report but law
sending this form to credit reporting agencies. enforcement
refused to take it.
Select ONE: Automated report:
I have not filed a law enforcement report. A law
I was unable to file any law enforcement report. enforcement
report filed
I filed an automated report with the law enforcement agency listed
through an
below. automated
I filed my report in person with the law enforcement system, for
officer and agency listed below. example, by
telephone, mail,
or the Internet,
instead of a
____________________________________________________________________
face-to-face
Law Enforcement Department State
interview with a
law enforcement
officer.
____________________________ _____________________
Report Number Filing Date (mm/dd/yyyy)

____________________________________________________________________
Officers Name (please print) Officers Signature

____________________________ (____)_______________
Badge Number Phone Number

Did the victim receive a copy of the report from the law enforcement officer? Yes OR No

Victims FTC complaint number (if available): ________________________

Victims Name _______________________________ Phone number (____)_________________ Page 6

Signature
As applicable, sign and date IN THE PRESENCE OF a law enforcement officer, a notary, or
a witness.
(21) I certify that, to the best of my knowledge and belief, all of the information on and attached to
this complaint is true, correct, and complete and made in good faith. I understand that this
complaint or the information it contains may be made available to federal, state, and/or local
law enforcement agencies for such action within their jurisdiction as they deem appropriate. I
understand that knowingly making any false or fraudulent statement or representation to the
government may violate federal, state, or local criminal statutes, and may result in a fine,
imprisonment, or both.

_______________________________________ _________________________________________
Signature Date Signed (mm/dd/yyyy)

Your Affidavit
(22) If you do not choose to file a report with law enforcement, you may use this form as an Identity
Theft Affidavit to prove to each of the companies where the thief misused your information that
you are not responsible for the fraud. While many companies accept this affidavit, others require
that you submit different forms. Check with each company to see if it accepts this form. You
should also check to see if it requires notarization. If so, sign in the presence of a notary. If it
does not, please have one witness (non-relative) sign that you completed and signed this Affidavit.

_______________________________________
Notary

Witness:

_______________________________________ _________________________________________
Signature Printed Name

_______________________________________ _________________________________________
Date Telephone Number
 Appendix B
Tear out and fill in the following worksheets to keep as a record of actions youve taken.

CREDIT BUREAU & LAW ENFORCEMENT WORKSHEET

Place a fraud alert on your credit file and request a copy of your credit report. Report criminal activity to the appropriate authorities and agencies.

Organization Report/Reference # Date Contacted Contact Name Notes

Equifax
1-800-525-6285
www.equifax.com

Experian
1-888-397-3742
www.experian.com

TransUnion
800-680-7289
www.transunion.com

Federal Trade Comm.

877-ID-THEFT
www.consumer.gov

Local Police Dept.

Missouri Attorney
Generals Office
800-392-8222
www.ago.mo.gov

Social Security Fraud

Hotline
800-269-0271

Organization Postal
Inspection Service
877-876-2455
https://postalinspectors.
uspis.gov
 ACCOUNT STATEMENT & ACTIVITY WORKSHEET

Track when your statements arrive, what transactions occurred and the statement balance. Verify that the account activity is legitimate.

Suspicious
Issuer Account Type Date Received Statement Balance Notes
Transactions

MAY 2017 IDENTITY THEFT RESOURCE GUIDE

 Appendix C
SAMPLE DISPUTE LETTER FOR EXISTING ACCOUNTS

[Date]

[Your Name]
[Your Address]
[Your City, State, Zip Code]
[Your Account Number]

[Name of Creditor]
Billing Inquiries
[Address]
[City, State, Zip Code]

Dear Sir or Madam:

I am writing to dispute a fraudulent [charge/debit] on my account in the amount of $_______.

I am a victim of identity theft, and I did not make this [charge/debit]. I am requesting that the
[charge be removed/the debit reinstated], that any finance and other charges related to the
fraudulent amount be credited, as well, and that I receive an accurate statement.

Enclosed is a copy of my Identity Theft Victims Complaint supporting my position. In addition,

I am enclosing a copy of sections 605B, 615(f ) and 623(a)(6) of the Fair Credit Reporting Act
(FCRA), which detail your responsibilities as an information furnisher to consumer reporting
agencies in response to the Identity Theft Report I am providing. These enclosures also detail
your responsibilities that apply in the event you receive from a consumer reporting agency
notice under section 605B of the FCRA that information you provided to is the result of identity
theft.

Please investigate this matter and correct the fraudulent [charge/debit] as soon as possible.

Sincerely,
[Your Name]

Enclosures:
Identity Theft Victims Complaint and Affidavit
FCRA Sections 605B, 615(f ), 623(a)(6)

IDENTITY THEFT RESOURCE GUIDE JUNE 2017 21

 SAMPLE BLOCKING LETTER TO CONSUMER REPORTING COMPANY

[Date]

[Your Name]
[Your Address]
[Your City, State, Zip Code]

(Write to one at a time:)

Equifax Information Services, LLC

P.O. Box 15069
Atlanta, GA 30348

-or-

Experian
P.O. Box 9554
Allen, TX 75013

-or-

TransUnion
Fraud Victim Assistance Department
P.O. Box 2000
Chester, PA 19016

Dear Sir or Madam:

I am a victim of identity theft. I am writing to request that you block the following fraudulent
information from my credit report: [Identify item(s) to be blocked by name of source, such as
creditors or tax court, and identify type of item, such as credit account, judgment, etc].

This information does not relate to any transaction that I have made. I have enclosed a copy of
my Identity Theft Victims Complaint. In addition, I have enclosed a copy of section 605B of the
Fair Credit Reporting Act, which details your responsibility to block fraudulent information on
my credit report resulting from identity theft. Please let me know if you need any other informa-
tion from me to block this information from my credit report.

Sincerely,
[Your Name]

Enclosures:
Identity Theft Victims Complaint and Affidavit
FCRA Section 605B

22 JUNE 2017 IDENTITY THEFT RESOURCE GUIDE

 SAMPLE DISPUTE LETTER FOR NEW ACCOUNTS

[Date]

[Your Name]
[Your Address]
[Your City, State, Zip Code]
[Your Account Number (if known)]

[Name of Creditor]
Billing Inquiries
[Address]
[City, State, Zip Code]

Dear Sir or Madam:

I am a victim of identity theft. I have recently learned that my personal information was used
to open an account at your company. I did not open this account, and I am requesting that the
account be closed and that I be absolved of all charges on the account.

Enclosed is a copy of my Identity Theft Victims Complaint supporting my position. In addition,

I am enclosing a copy of sections 605B, 615(f ) and 623(a)(6) of the Fair Credit Reporting Act
(FCRA), which detail your responsibilities as an information furnisher to consumer reporting
agencies in response to the Identity Theft Report I am providing. These sections also detail your
responsibilities that apply in the event you receive from a consumer reporting agency notice
under section 605B of the FCRA that information you provided is the result of identity theft.

Please investigate this matter, close the account and absolve me of all charges, take the steps
required of you under the FCRA, and send me a letter confirming your findings and actions, as
soon as possible.

Sincerely,
[Your Name]

Enclosures:
Identity Theft Victims Complaint and Affidavit
FCRA Sections 605B, 615(f ), 623(a)(6)

IDENTITY THEFT RESOURCE GUIDE JUNE 2017 23

 Appendix D
ENCLOSURE: FCRA 605B (15 U.S.C. 1681c-2)

Block of Information Resulting from Identity Theft

(a) Block

Except as otherwise provided in this section, a consumer reporting agency shall block
the reporting of any information in the file of a consumer that the consumer identifies as
information that resulted from an alleged identity theft, not later than 4 business days after the
date of receipt by such agency of--

(1) appropriate proof of the identity of the consumer;

(2) a copy of an identity theft report;

(3) the identification of such information by the consumer; and

(4) a statement by the consumer that the information is not information relating to any
transaction by the consumer.

(b) Notification

A consumer reporting agency shall promptly notify the furnisher of information identified by the
consumer under subsection (a) --

(1) that the information may be a result of identity theft;

(2) that an identity theft report has been filed;

(3) that a block has been requested under this section; and

(4) of the effective dates of the block.

(c) Authority to decline or rescind

(1) In general

A consumer reporting agency may decline to block, or may rescind any block, of information
relating to a consumer under this section, if the consumer reporting agency reasonably deter-
mines that--

(A) the information was blocked in error or a block was requested by the consumer in
error;

24 JUNE 2017 IDENTITY THEFT RESOURCE GUIDE

 (B) the information was blocked, or a block was requested by the consumer, on the basis
of a material misrepresentation of fact by the consumer relevant to the request to
block; or
(C) the consumer obtained possession of goods, services, or money as a result of the
blocked transaction or transactions.

(2) Notification to consumer

If a block of information is declined or rescinded under this subsection, the affected consumer
shall be notified promptly, in the same manner as consumers are notified of the reinsertion of
information under section 1681i(a)(5)(B) of this title.

(3) Significance of block

For purposes of this subsection, if a consumer reporting agency rescinds a block, the presence of
information in the file of a consumer prior to the blocking of such information is not evidence of
whether the consumer knew or should have known that the consumer obtained possession of
any goods, services, or money as a result of the block.

(d) Exception for resellers

(1) No reseller file

This section shall not apply to a consumer reporting agency, if the consumer reporting agency--

(A) is a reseller;

(B) is not, at the time of the request of the consumer under subsection (a),
otherwise furnishing or reselling a consumer report concerning the information
identified by the consumer; and

(C) informs the consumer, by any means, that the consumer may report the identity theft
to the Bureau to obtain consumer information regarding identity theft.

(2) Reseller with file

The sole obligation of the consumer reporting agency under this section, with regard to any
request of a consumer under this section, shall be to block the consumer report maintained by
the consumer reporting agency from any subsequent use, if--

(A) the consumer, in accordance with the provisions of subsection (a) of this section,
identifies, to a consumer reporting agency, information in the file of the consumer
that resulted from identity theft; and

(B) the consumer reporting agency is a reseller of the identified information.

(3) Notice

IDENTITY THEFT RESOURCE GUIDE JUNE 2017 25

 In carrying out its obligation under paragraph (2), the reseller shall promptly provide a notice to
the consumer of the decision to block the file. Such notice shall contain the name, address, and
telephone number of each consumer reporting agency from which the consumer information
was obtained for resale.

(e) Exception for verification companies

The provisions of this section do not apply to a check services company, acting as such, which
issues authorizations for the purpose of approving or processing negotiable instruments,
electronic fund transfers, or similar methods of payments, except that, beginning 4 business
days after receipt of information described in paragraphs (1) through (3) of subsection (a), a
check services company shall not report to a national consumer reporting agency described in
section 1681a(p) of this title, any information identified in the subject identity theft report as
resulting from identity theft.

(f ) Access to blocked information by law enforcement agencies

No provision of this section shall be construed as requiring a consumer reporting agency to

prevent a Federal, State, or local law enforcement agency from accessing blocked information in
a consumer file to which the agency could otherwise obtain access under this subchapter.

ENCLOSURE: FCRA 615(f) (15 U.S.C. 1681m(f))

Requirements on Users of Consumer Reports Prohibition on Sale or Transfer of Debt

Caused by Identity Theft

(f ) Prohibition on sale or transfer of debt caused by identity theft

(1) In general

No person shall sell, transfer for consideration, or place for collection a debt that such person has
been notified under section 1681c-2 of this title has resulted from identity theft.

(2) Applicability

The prohibitions of this subsection shall apply to all persons collecting a debt described in
paragraph (1) after the date of a notification under paragraph (1).

(3) Rule of construction

Nothing in this subsection shall be construed to prohibit--

(A) the repurchase of a debt in any case in which the assignee of the debt requires such
repurchase because the debt has resulted from identity theft;

26 JUNE 2017 IDENTITY THEFT RESOURCE GUIDE

 (B) the securitization of a debt or the pledging of a portfolio of debt as collateral in
connection with a borrowing; or

(C) the transfer of debt as a result of a merger, acquisition, purchase and assumption
transaction, or transfer of substantially all of the assets of an entity.

ENCLOSURE: FCRA 623(a)(6) (15 U.S.C. 1681s-2(a)(6))

Responsibilities of Furnishers of Information to Consumer Reporting Agencies Duties of

Furnishers upon Notice of Identity Theft-Related Information

(6) Duties of furnishers upon notice of identity theft-related information

(A) Reasonable procedures

A person that furnishes information to any consumer reporting agency shall have in place
reasonable procedures to respond to any notification that it receives from a consumer reporting
agency under section 1681c-2 of this title relating to information resulting from identity theft, to
prevent that person from refurnishing such blocked information.

(B) Information alleged to result from identity theft

If a consumer submits an identity theft report to a person who furnishes information to a

consumer reporting agency at the address specified by that person for receiving such reports
stating that information maintained by such person that purports to relate to the consumer
resulted from identity theft, the person may not furnish such information that purports to relate
to the consumer to any consumer reporting agency, unless the person subsequently knows or is
informed by the consumer that the information is correct.

IDENTITY THEFT RESOURCE GUIDE JUNE 2017 27

 Appendix E
CREDIT REPORTING

There are three major credit reporting companies: Equifax, Experian, and TransUnion. These
companies collect and report your data to potential creditors, employers, insurers, and to others
for purposes allowed by law.

FREE ANNUAL CREDIT REPORTS

Each of the major nationwide consumer reporting companies are required by the federal Fair
Credit Reporting Act to provide you with a free copy of your credit report, at your request, once
every 12 months. Consider spreading these three reports out over the year so that you can
review an up-to-date, free credit report once every few months. To obtain a free copy of your
report:

Visit www.annualcreditreport.com,
Call toll-free 877-322-8228, or
Complete the Annual Credit Report Request Form at www.ftc.gov/credit and mail it to:
Annual Credit Report Request Service, P.O. Box 105281, Atlanta, GA 30348-5281.
You are also entitled to a free report if a company takes adverse action against you, such as
denying your application for credit, insurance, or employment, and you request your report
within 60 days of receiving notice of the action. You are also entitled to one free report a year
if you are unemployed anohd plan to look for a job within 60 days, you are on welfare, or your
report is inaccurate because of fraud. Otherwise, a consumer reporting company may charge
you around $10.00 for any other copies of your report.

To buy a copy of your report, or to request a fraud alert or security freeze, contact one of the
three credit bureaus:
Fraud Alert: You
CREDIT BUREAUS can add a fraud alert
EQUIFAX EXPERIAN TRANSUNION message to your
P.O. Box 740241 P.O. Box 9554 P.O. Box 6790 credit report to help
Atlanta, GA 30374 Allen, TX 75013 Fullerton, CA 92834 protect your credit
888-766-0008 888-EXPERIAN (397-3742) 800-680-7289
information. Fraud
alert messages notify
potential creditors to verify your identification before extending credit in your name in case
someone is using your information without your consent.

Security Freeze: You can initiate a security freeze on your credit report to prevent a credit
reporting company from releasing your credit report without your consent. Be aware that a
security freeze limiting access to the personal and financial information in your file may delay,
interfere with, or prohibit the timely approval of any subsequent request or application you

28 JUNE 2017 IDENTITY THEFT RESOURCE GUIDE

 make regarding a new loan, credit, mortgage, insurance, government services or payments,
rental housing, employment, investment, license, cellular telephone, utilities, digital signature,
Internet credit card transaction, or other services. Many experts recommend that you place a
freeze if you have been a victim of identity theft, or if you have received a data breach notice.
If you place a freeze, call to have the freeze lifted before applying for credit. Some charges may
apply when lifting the freeze. Additionally, credit reporting agencies may charge you both for
initiating the security freeze and for removing the security freeze. The fee is waived if a police
report has been filed.

IDENTITY THEFT RESOURCE GUIDE JUNE 2017 29

 Appendix F
ADDITIONAL CONTACT INFORMATION AND OTHER RESOURCES

Stolen Checks
If an identity thief steals your checks or counterfeits checks from your existing bank account,
contact your bank to have them put stop-payment-orders on your checks, and close your
account.

Contact major check verification companies to request that they notify retailers who use
their databases not to accept your checks:
TeleCheck at 1-800-710-9898 or 1-800-927-0188, and
Certegy, Inc. (previously Equifax Check Systems) at 1-800-437-5120.

30 JUNE2015
May 2017 IDENTITY
IDENTITY THEFTTHEFT RESOURCE
RESOURCE GUIDE
GUIDE
 Stolen Passport
If you believe your passport is lost, stolen, or is being used fraudulently, contact the United
States Department of State (USDS).

Report your lost or stolen passport by calling 1-877-487-2778 (TTY: 1-888-874-7793).

Complete the form at https://travel.state.gov/content/passports/en/passports/lost-
stolen.html regarding a lost or stolen passport and submit it to: U.S. Department of State
Passport Services, Consular Lost/Stolen Passport Section, 1111 19th Street, NW, Suite 500,
Washington, DC 20036.
Fraudulent Use of Social Security Number (SSN)
To report fraudulent use of a Social Security number, contact the Social Security Administration
(SSA) Office of the Inspector General.

File a complaint with SSA online at www.oig.ssa.gov, call: 1-800-269-0271, fax: 410-597-
0118, or write: SSA Fraud Hotline, P.O. Box 17785, Baltimore, MD 21235.
Request a replacement Social Security number card if yours is lost or stolen, or verify the
accuracy of reported earnings, by calling 1-800-772-1213.
Falsified Change of Address
If an identity thief has stolen your mail, has falsified change-of-address forms, or otherwise
obtained your personal information via mail fraud, contact your local postal inspector.

Contact the U.S. Postal Inspection Service (USPIS) district office nearest you by calling your
local post office.
File a complaint with the USPIS online at https://postalinspectors.uspis.gov/.
Tax Fraud
If you believe an identity thief has used your information to commit tax fraud, contact the
Internal Revenue Service (IRS).

Contact the IRS by calling 1-800-829-1040 or visit www.irs.gov.

Contact Missouri Department of Revenue at 573-522-4866, email idtheft@dor.mo.gov, or
by mail to Missouri Department of Revenue Attn: Identity Theft P.O. Box 3366, Jefferson
City, MO 65105-3366.
Bankruptcy Fraud
If you believe someone has filed for bankruptcy in your name, report suspected bankruptcy
fraud to the U.S. Department of Justices Trustee Program.

Prepare a written summary containing the information specified at

www.justice.gov/ust/eo/fraud/index.htm and send this information via email to:
USTP.Bankruptcy.Fraud@usdoj.gov or by mail to: Executive Office for U.S. Trustees Criminal
Enforcement Unit, 441 G Street., NW Ste. 6150, Washington, DC 20530.

IDENTITY THEFT RESOURCE GUIDE JUNE 2017 31

 Phone Fraud
If an identity thief has established phone service in your name, is making unauthorized calls that
are billed to your cellular phone, or is using your calling card and PIN, contact your service pro-
vider immediately to cancel the account and/or calling card.

If you have problems removing the fraudulent phone charges from your account or closing
an unauthorized account, contact the Missouri Public Service Commission by calling:
1-800-392-4211. You can file a complaint online at www.psc.mo.gov or by mail to Governor
Office Building, 200 Madison Street, P.O. Box 360, Jefferson City, MO 65102-0360.
For cellular phones and long distance, contact the Federal Communications Commission
(FCC) by calling 1-888-CALL-FCC (TTY: 1-888-TELL-FCC).
File a complaint with the FCC online at www.fcc.gov/complaints; write: Federal
Communications Commission, Consumer & Governmental Affairs Bureau, Consumer
Inquiries & Complaints Division, 445 12th Street, S.W., Washington, DC 20554 or e-mail
fccinfo@fcc.gov.
Student Loan Fraud
If an identity thief has used your information to take out a student loan, contact the school or
program that opened the student loan to close the loan.

Report the fraudulent loan to the U.S. Department of Education Inspector Generals Hotline
by calling 1-800-MIS-USED.
File a complaint online at www.ed.gov/about/offices/list/oig/hotline.html?src=rt or write:
Office of Inspector General, U.S. Department of Education, 400 Maryland Avenue, SW,
Washington, DC 20202-1510.
Investment Fraud
If you believe an identity thief has tampered with your securities investments or brokerage
account, immediately report it to your broker or account manager.

File a complaint with the U.S. Securities and Exchange Commissions Complaint Center at
www.sec.gov/complaint.shtml, send a fax to 703-813-6965, or write to: SEC Complaint
Center, 100 F Street NE, Washington, D.C. 20549-5990.
Contact the Securities Division of the Missouri Secretary of States Office, which is
responsible for ensuring compliance with state securities laws, at:
www.sos.mo.gov/securities/mipc/complaint.asp.
Other Identity Fraud
For other situations involving identity fraud not listed above, visit the FTC website at
www.ftc.gov.

This information was adapted from the Federal Trade Commission.

32 JUNE 2017 IDENTITY THEFT RESOURCE GUIDE

OFFICE OF ATTORNEY GENERAL
JOSH HAWLEY
P.O. Box 899
Jefferson City, MO 65102
573-751-3321
ago.mo.gov