Fraud/Identity Theft Victim's Packet

Please fill out the form below and save to your computer. Email to: police@westjordan.utah.gov

West Jordan Police Department – Identity Crime / Fraud Investigative Protocol (Accessible)

Identity Crime / Fraud Investigative Protocol

Case #

Date

Name of Victim

Enter your legal name as it appears on your ID.

Obtain Personal Identifying Information (SS, DL, Employer, E-mail, etc.)

List personal identifiers involved or on file (Social Security, Driver License, employer, email, etc.).

4000 characters remaining

1. What is the best time to reach you at home?

2. How did you become aware of the identity crime / fraud?

Describe the first indication (e.g., alert from bank, notice from creditor, mail, call).

4000 characters remaining

3. On what date did you first become aware of the identity crime / fraud?

4. When did the fraudulent activity begin?

5. Full name, address, date of birth, and any other identifying information used in the fraudulent activity

Include any identifiers the suspect(s) used.

4000 characters remaining

6. List all fraudulent activity chronologically (locations, applications, purchases)

Use information from your bank/Visa transaction list: date/time/location.

4000 characters remaining

7. What documents and identifying information were stolen and/or compromised?

4000 characters remaining

8. To the best of your knowledge, what identity crime / fraud has been committed as of this time?

4000 characters remaining

9. What circumstances and activities have occurred in the past six months (include activities by you or by a family member or friend on your behalf)?

4000 characters remaining

10. How many purchases have you made over the internet in the last six months?

11. What internet sites have you purchased from?

4000 characters remaining

12. Who has your Social Security number been given to in the last six months?

4000 characters remaining

13. Do your personal checks have your Social Security and/or Driver’s License number printed on them?

4000 characters remaining

14. Have you written your Social Security and/or Driver’s license number on any checks, or has a retailer written them on your check(s)?

4000 characters remaining

15. Do you own a business that might be affected by identity crime / fraud?

4000 characters remaining

16. Do you have any suspect information?

4000 characters remaining

17. How do you believe the crime / fraud occurred?

4000 characters remaining

18. List all banks you have accounts with (note any reported fraudulent charges)

4000 characters remaining

19. List all banks and credit card companies you have credit cards with (note any reported fraudulent charges)

4000 characters remaining

20. List all utility companies you have accounts with (note any reported fraudulent charges)

4000 characters remaining

21. List all financial institutions you have accounts with (loans, leases, mortgages, etc.; note any reported fraudulent charges)

4000 characters remaining

22. List any merchants you have credit accounts with (note any reported fraudulent charges)

4000 characters remaining

23. List any financial institutions where a fraudulent account was opened in your name or with other personal identifiers

4000 characters remaining

24. List any documents obtained fraudulently using your name or personal identifiers

4000 characters remaining

25. Have you contacted and obtained a Fraud Alert and credit report from the major credit reporting organizations?

Include dates and bureaus (Experian, TransUnion, Equifax) and any confirmation numbers.

4000 characters remaining

26. Have you contacted any financial institutions concerning legitimate or fraudulent accounts?

4000 characters remaining

27. Have you entered your case on the Federal Trade Commission website (https://www.identitytheft.gov/#/)?

Include your FTC report number and date submitted.

4000 characters remaining

Be sure to reference your police report number on all items submitted to WJPD.