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ITRC Letter Form 140

ITRC Letter Form 140 is a sample letter to request a senior family member or dependent adult’s credit report be frozen by 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.

P.O. Box 740256
Atlanta, Georgia 30374

PO Box 2000
Chester, PA 19016

PO Box 9532
Allen, TX 75013

Click to download the form:

LF 140 – Requesting Credit Freeze for dependent 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

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