ITRC Letter Form 140
Requesting a Credit Freeze for a Dependant Adult

ITRC Letter Form 140 is a sample letter to request a senior family member or dependant adult's credit report be frozen by the the three credit reporting agencies (CRAs). Please read Fact Sheet FS 140 to know what to include with this letter.

Always send items Certified Mail Return Receipt.

Please DO NOT send the ITRC any personal documents or letter forms as we cannot gather information for you or clear fraudulent activity that may appear.

Equifax
P.O. Box 740256
Atlanta, Georgia 30374

TransUnion 
PO Box 2000
Chester, PA 19016

Experian 
PO Box 9532 
Allen, TX 75013

Click to download the form:

LF 140 - Requesting Credit Freeze for dependant Adult

 

This letter form should not be used in lieu of legal advice. Any requests to reproduce this material, other than by individual victims for their own use, should be directed to This email address is being protected from spambots. You need JavaScript enabled to view it..

ITRC thanks the CRA's in providing material for this guide. Copyright, Identity Theft Resource Center®, all rights reserved. Created by ITRC

ITRC Letter Form 139
Requesting Dependant Adult's Credit Report

ITRC Letter Form 139 is a sample letter to request a senior family member or dependant adult's credit report from the three credit reporting agencies (CRAs). Please read Fact Sheet FS 139 to know what to include with this letter.

Always send items Certified Mail Return Receipt.

Please DO NOT send the ITRC any personal documents or letter forms as we cannot gather information for you or clear fraudulent activity that may appear.

Equifax
P.O. Box 740256
Atlanta, Georgia 30374

TransUnion 
PO Box 2000
Chester, PA 19016

Experian 
PO Box 9532 
Allen, TX 75013

Click to download the form:

LF 139 Form

 

This letter form should not be used in lieu of legal advice. Any requests to reproduce this material, other than by individual victims for their own use, should be directed to This email address is being protected from spambots. You need JavaScript enabled to view it..

ITRC thanks the CRA's in providing material for this guide. Copyright, Identity Theft Resource Center®, all rights reserved. Created by ITRC

ITRC Letter Form 133
Request an Active Duty Alert

ITRC Letter Form 133 is a sample letter to request an Active Duty Alert for your credit reports.

With all letters you must send proof of your identity:

  •  A copy of my driver’s license or state identification card
  •  A copy of my Social Security Card
  •  A copy of my military identification card
  •  A copy of my orders
  •  A copy of a bill that shows my address of record, if address is different from the address on driver’s license or state identification card
  •  A copy of Power of Attorney (if applicable)

Always send items Certified Mail Return Receipt.

Click to download the form:

LF 133 Form

This letter form should not be used in lieu of legal advice. Any requests to reproduce this material, other than by individual victims for their own use, should be directed to This email address is being protected from spambots. You need JavaScript enabled to view it.

Copyright, Identity Theft Resource Center®, all rights reserved. Created by ITRC

ITRC Letter Form 130A
Request to Receive and/or Correct Medical Records

ITRC Letter Form 130A - Request for Medical Records, is for use by victims of medical identity theft.  This sample letter uses language that may be useful in making a case for removing incorrect information from a health provider’s record:

For additional information, please refer to ITRC Fact Sheet FS 130 -  Correcting Misinformation on Medical Records

Click to download the form:

LF 130a Form

This letter form should not be used in lieu of legal advice. Any requests to reproduce this material, other than by individual victims for their own use, should be directed to This email address is being protected from spambots. You need JavaScript enabled to view it.. ITRC thanks the CRA's in providing material for this guide.

Copyright, Identity Theft Resource Center®, all rights reserved. Created by ITRC

 

ITRC Letter Form 126
Initial Statement of Checking Account Fraud

 

Please fill out and send ITRC Letter Form 126 to the merchants or check verification companies who may have accepted fraudulent checks written with your information. 

Do not send the completed form to the ITRC as we have no legal authority to clear your record for you.

For more information please read our ITRC Fact Sheet FS 126 - Checking Account Takeover and Check Fraud.

Click to download the form:

LF 126 Form

This letter form should not be used in lieu of legal advice. Any requests to reproduce this material, other than by individual victims for their own use, should be directed to This email address is being protected from spambots. You need JavaScript enabled to view it.. ITRC thanks the CRA's in providing material for this guide.

Copyright, Identity Theft Resource Center®, all rights reserved. Created by ITRC

 

 

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