Kentwood Police Department 4742 Walma Ave SE Kentwood, Michigan (616) REPORTING IDENTITY THEFT

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1 Kentwd Plice Department 4742 Walma Ave SE Kentwd, Michigan (616) REPORTING IDENTITY THEFT If yu are the victim f identity theft and ne f the fllwing cnditins are met, yu may file a reprt with the Kentwd Plice Department. Yu are a resident f the City f Kentwd, Michigan. Yu believe the crime f identity theft ccurred within the City f Kentwd, Michigan. INFORMATION NEEDED TO FILE AN IDENTITY THEFT REPORT A persn filing an Identity Theft reprt with the Kentwd Plice Department must cmplete an Identity Theft Questinnaire either at the time f reprting the incident r within three (3) days f starting the cmplaint prcess. The link belw has been prvided t assist yu in cmpleting yur questinnaire. It cntains infrmatin n hw t prtect yur identity in the future as well as additinal links t the three majr credit bureaus and varius gvernment agencies that shuld be ntified if yur identity has been stlen. ID Theft - D Nt Becme The Next Victim!!!

2 Cmp.# KENTWOOD POLICE DEPARTMENT IDENTITY THEFT QUESTIONNAIRE Return the cmpleted questinnaire t the Kentwd Plice Department Recrds Bureau, 4742 Walma Ave. S.E., Kentwd, MI within three days.

3 PROCEDURES 1. Cntact the invlved financial institutins and request cpies f their dcuments. 2. Fill ut this frm and return it t the investigating fficer within 3 days. Bring all relevant dcumentatin with yu. If yu fail t return this packet within 3 days, the investigatin shall be clsed. 3. Tell the fficer if this reprt is being filed fr dcumentatin purpses nly. Kentwd PD Cmplaint #: Officer: Yur Full Name: Address: Phne Numbers: ( ) ( ) Date f Birth: / / Scial Security Number: Driver s License Number: Address: Emplyer: Emplyer s Address: Emplyer s Phne Number: ( ) What is the best time/place t reach yu? Hw did yu becme aware f the identity crime? (Cntacted by bank, credit cmpany, credit statement, etc.) What date did yu first becme aware f the identity crime? The infrmatin cllected in this packet is fr fficial law enfrcement use nly. Authrizatin fr use f this infrmatin is subject t written revcatin at any time. 2

4 Please list all fraudulent activity that yu are aware f, with the lcatin and addresses f where fraudulent applicatins r purchases were made. Please try t list incidents in chrnlgical rder. Yu may attach a separate sheet f paper if additinal space is required. The infrmatin cllected in this packet is fr fficial law enfrcement use nly. Authrizatin fr use f this infrmatin is subject t written revcatin at any time. 3

5 Are yu aware f any f yur dcuments being stlen, cpied r passwrds cmprmised (i.e. stlen mail, credit cards, lst wallet, suspicius internet transactins)? Please list yur authrized credit cards. Place an asterisk (*) by accunts that have fraudulent charges n them. Cmpany Accunt Number Please list all f the banks that yu have accunts r lans with. Place an asterisk (*) by accunts that have fraudulent charges n them. Bank Accunt Number Please list all f the utility cmpanies that yu have accunts with. Place an asterisk (*) by accunts that have fraudulent charges n them. Cmpany Accunt Number The infrmatin cllected in this packet is fr fficial law enfrcement use nly. Authrizatin fr use f this infrmatin is subject t written revcatin at any time. 4

6 Please list all telephne, internet and ther cmpanies that yu d business with n a regular basis. Place an asterisk (*) by accunts that have fraudulent charges n them. Cmpany Accunt Number T the best f yur knwledge, what identity crimes have been cmmitted? Purchase(s) made using my credit card(s) r credit card number(s) withut my authrizatin. Opening new credit card accunt(s) in my name. Opening utility and/r telephne accunt(s) in my name. Unauthrized withdrawals frm my bank accunt. Opening new bank accunt(s) in my name. Taking ut unauthrized lan(s) in my name. Unauthrized access t my securities r investment accunt(s). Obtaining gvernment benefit(s) in my name. Obtaining emplyment in my name. Obtaining medical service(s) r insurance benefit(s) in my name. Evading prsecutin fr crime(s) by using my name. Check fraud using my name. Passprt/visa fraud. Other: The infrmatin cllected in this packet is fr fficial law enfrcement use nly. Authrizatin fr use f this infrmatin is subject t written revcatin at any time. 5

7 Retracing yur actins in recent mnths with regard t yur persnal infrmatin will assist in the investigatin. What circumstances and activities have ccurred in the last six mnths (include activities perfrmed by yu and n yur behalf by a member f yur family r friends)? I carried my Scial Security card in my wallet r purse. I carried bank accunt passwrd(s), PIN(s), r cde(s) in my wallet r purse. I gave ut my Scial Security number T whm? My mail, wallet, r purse was stlen r lst When, where? My mail was held at a pst ffice r cllected by anther. I went n vacatin r traveling When, where? I didn t receive a bill Type f bill, when expected? I sent a payment that wasn t received. Service peple were in my hme. My garbage was taken by smene ther than garbage cmpany. Credit cards and/r ATM receipts were discarded, but nt shredded. I made purchases n the internet. I made a mail rder r telephne purchase Methd f payment? A charitable dnatin was made. I wn a prize. I cmpleted a membership applicatin. I applied fr a lan, credit, etc. I leased and/r rented a vehicle etc. I pened a utility accunt. I applied fr a license, permit, etc. My persnal infrmatin was given t smene. Other reasns that might explain the identity theft The infrmatin cllected in this packet is fr fficial law enfrcement use nly. Authrizatin fr use f this infrmatin is subject t written revcatin at any time. 6

8 Please explain in as much detail as pssible, the circumstances f any checked item: Is yur Scial Security number r Driver s license number printed n yur checks? If yes, list retailers names where checks have been tendered: Have yu written yur Scial Security number r Driver s license number n any checks in the last six mnths? If yes, list retailers names where checks have been tendered: D yu wn a business that may be affected by the identity crime? D yu have any ideas f wh may have cmmitted the identity crime? Hw d yu think the identity theft ccurred? Please list any fraudulent dcuments btained in yur name: The infrmatin cllected in this packet is fr fficial law enfrcement use nly. Authrizatin fr use f this infrmatin is subject t written revcatin at any time. 7

9 Have yu cntacted the fllwing rganizatins and requested a Fraud Alert be put n yur accunt? Yur bank/creditrs Date ntified Equifax (800) TransUnin (800) Experian (888) Federal Trade Cmmissin Others (Please list) Have yu requested a cpy f yur credit histry? (When?) I declare under penalty f law that the infrmatin I have prvided is true and crrect t the best f my knwledge. (Signature) (Date) (Printed Name) Make a cpy f this dcument fr yur recrds. Knwingly submitting false infrmatin n this frm culd subject yu t criminal prsecutin. Infrmatin regarding the preventin f identity theft crimes is available frm the Michigan Attrney Generals Office at: The infrmatin cllected in this packet is fr fficial law enfrcement use nly. Authrizatin fr use f this infrmatin is subject t written revcatin at any time. 8

10 T Whm It May Cncern: AUTHORIZATION FOR RELEASE OF INFORMATION Cmplaint Number: I hereby authrize any representative f the Kentwd Plice Department bearing this release t btain infrmatin frm yur files r ther surces pertaining t my persnal backgrund including, but nt limited t, the histries/recrds as indicated belw: Medical Recrds Insurance Recrds Financial Recrds (Includes Checking/Savings) Emplyment Histry Telephne Recrds (Includes Cellular) Credit Recrds Internet/ISP Other: Specify Infrmatin Requested I hereby direct yu t release such infrmatin upn the request f the bearer. This release is executed with the full knwledge and understanding that the infrmatin is fr fficial use by the Kentwd Plice Department. Cnsent is granted fr the Kentwd Plice Department t furnish such infrmatin as indicated abve, t law enfrcement entities in the curse f fulfilling its fficial respnsibilities. I hereby release yu, the institutin r establishment which yu represent, including its fficers, emplyees, and related persnnel, bth individually and cllectively, frm any and all liability fr damages f whatever kind, which may at any time result t me, my heirs, family r assciates because f cmpliance with this Authrizatin fr Release f Infrmatin, r any attempt t cmply with it. Shuld there be any questin as t the validity f this release, yu may cntact me as indicated belw: Full Name Scial Security N. Date f Birth Current Address Telephne N. Signature Date Requesting Officer (Printed Name) Requesting Officer (Signature)

11 Hw can I tell if I m a victim f Identity Theft? Mnitr the balances f yur financial accunts. Make sure there are n unexplained charges r withdrawals. Other indicatins include: Failing t receive bills r ther mail, Being denied credit fr n apparent reasn, r Receiving calls r letters frm debt cllectrs r businesses abut merchandise r services yu did nt buy. Hw can I prevent Identity Theft? Order yur credit histry frm the three majr credit bureaus (listed n the back f this brchure); make sure all the infrmatin is crrect, at least nce a year. D nt give persnal infrmatin ver the phne. Dn t carry yur SSN card in yur purse r wallet. Secure persnal infrmatin in yur hme. Guard yur mail frm theft. Depsit utging mail in pst ffice cllectin bxes r at yur lcal pst ffice, rather than an unguarded mailbx. Remve mail prmptly frm yur mailbx. If ging n vacatin, request a vacatin hld n yur mail. Carry nly the identificatin, credit and debit cards yu actually need. Place passwrds n yur credit cards, bank accunts and phne accunts. Avid using easily accessible infrmatin (e.g., birth date, maiden name, last fur digits f SSN r phne). When asked fr yur SSN ask: Why d yu need it? Hw will it be used? Hw d yu prtect it frm being stlen? What will happen if I dn t give it t yu? Pay attentin t billing cycles. Fllw up with creditrs if bills d nt arrive n time. Shred dcuments that cntain persnal infrmatin (e.g., bank statements, ld checks, insurance bills, expired vehicle registratins and credit card bills). Cancel all unused credit card accunts. Dn t assume the accunt is clsed because yu n lnger use the credit card r have a zer balance. Dn t write yur PIN r ther cdes n the back f yur credit cards. When rdering new checks, pick them up at the bank, rather than having them sent t yur hme mailbx. Be aware that many identity thefts are cmmitted by family members. D nt send mney via Western Unin t peple yu dn t knw. D nt send mney, checks r infrmatin ut f the cuntry t peple yu dn t knw. Never respnd t lttery winner ntificatins. REMEMBER: IF IT SOUNDS TOO GOOD TO BE TRUE, IT PROBABLY IS!!! What t d if yu are a victim? Place a fraud alert n yur credit reprts by cntacting the three majr credit bureaus (see back page) and review yur credit reprts regularly. Clse the accunts that yu knw, r believe, have been tampered with r pened fraudulently. File a reprt with yur lcal plice r the plice in the cmmunity where the identity theft tk place. File a cmplaint with the FTC and fill ut an ID Theft Affidavit. (see back page) Create a persnal lg listing dates, times, places and names f peple yu ntified. Create a file f all dcuments. Safe Cmputer Use Use a secure brwser t guard the security f yur nline transactins. Update yur virus prtectins sftware. Use firewall prtectin, especially if yu use a high speed internet cnnectin. When submitting infrmatin, lk fr the lck icn n the brwser s status bar and the web address t read https t make sure yur infrmatin is secure during transmissin. Try nt t stre persnal infrmatin n yur laptp. Befre dispsing f a cmputer, delete all persnal infrmatin. D nt dwnlad files r click n hyperlinks sent t yu by strangers.

12 Cntact Infrmatin T reprt identity theft: The Federal Trade Cmmissin (FTC) IDTHEFT 600 Pennsylvania Ave. NW.,Washingtn D.C T request a vacatin hld n mail: U.S. Pstal Service The three majr credit bureaus: Equifax P.O. Bx , Atlanta, GA Experian EXPERIAN TDD: P.O. Bx 2002, Allen, TX TransUnin Fraud Victim Assistance Department P.O. Bx 6790, Fullertn, CA Free credit reprt annually: Annual Credit Reprt.cm TDD: T replace a SSN card: Scial Security Administratin T pt ut f prescreened credit ffers: OPTOUT TDD: KENTWOOD POLICE DEPARMTMENT Excellence in Plicing IDENTITY THEFT DO NOT BECOME THE NEXT VICTIM!!! KENTWOOD POLICE DEPARTMENT 4742 Walma Ave SE Kentwd, MI A Cmmunity Effrt What is identity theft? Identity theft ccurs when smene uses yur name, address, Scial Security number (SSN), bank r credit card accunt number, r ther identifying infrmatin t cmmit fraud r ther crimes. Hw yur identity is stlen Getting infrmatin frm businesses by: Stealing recrds frm their emplyer, Bribing an emplyee wh has access t the recrds, Cnning infrmatin ut f emplyees, r Hacking int the rganizatin s cmputers. Rummaging thrugh yur trash. Stealing credit and debit card accunt numbers as yur card is being prcessed. Stealing wallets r purses with identificatin cards inside. Stealing mail, including bank and/r credit card statements, pre-apprved credit card ffers, new checks, and tax infrmatin. Cmpleting a change f address frm t redirect yur mail t anther lcatin. Scamming infrmatin by pretending t be a legitimate business r gvernment fficial. Hacking int unsecured websites where transactins are made.

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