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.

PDF version Get the free Adobe Reader is available for printing and mailing.

YOUR CONTACT INFORMATION

COMPLAINT DETAILS

How did you become aware of the identity crime? *
What is the full name, address and other identifying information that the fraudulent activity was made under?
You may attach any supporting documents/notes you have.

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To the best of your knowledge at this point, what identity crimes have been committed?
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.
Have you contacted the following organizations and requested a Fraud Alert be put on your account?(Check all that apply.)
Have you requested a credit report from each of the three credit bureaus? Check all that apply.
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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.