Identity Theft Worksheet
Credit Bureaus
[  ] Experian: www.experian.com

Date of Contact	Type of Contact	Comments	

[  ] Equifax: www.equifax.com

Date of Contact	Type of Contact	Comments	

[  ] TransUnion: www.transunion.com

Date of Contact	Type of Contact	Comments	

Financial Institutions
Credit Card Companies

Name of Company	Phone Number
or Website	Date of Contact	Contact Person
or Method	Comments	

					

Banks

Name of Bank	Phone Number
or Website	Date of Contact	Contact Person 
or Method	Comments	

					

Other Service Providers

Name of Institution	Phone Number
or Website	Date of Contact	Contact Person
or Method	Comments	

					

Law Enforcement Agencies
Local Police Department

Name of
Department	Phone Number
or Website	Date of Contact	Name of Person or Officer 
Contacted	Comments	

					

Federal Trade Commission: www.ftc.gov

Date of Contact	Contact Method	Comments	

Other Law Enforcement Agencies

Name of Agency	Phone Number
or Website	Date of Contact	Contact Person
or Method	Comments	

					

Other Contacts
Postal Inspector: https://postalinspectors.uspis.gov

Phone Number
or Website	Date of Contact	Contact Person
or Method	Comments	

				

Social Security Administration: 800-772-1213

Date of Contact	Type of Contact	Comments	

Debt Collectors

Name of Collection Agency	Phone Number	Date of Contact	Contact Person	Comments	

					

U.S. State Department: 877-487-2778 or https://travel.state.gov/content/passports/en/passports/lost-stolen.html

Date of Contact	Contact Person
or Method	Comments	

Department of Motor Vehicles

DMV Location	Phone Number or Website	Date of Contact	Contact Person or Method	Comments	

					

Additional Conversations/Correspondence

Name of Institution	Phone Number
or Website	Date of Contact	Contact Person
or Method	Comments	

					

Expenses Incurred

Date Expense Incurred	Reason for Expense	Cost	
		$	
		$	
		$	
		$	
	Total Costs:	$