Identity Theft Complaint Form

Thank you for filing an investigate request. Please fill out as much information below as possible to assist in our investigative process.

Once your request is received, it will be processed by our office and reviewed by attorneys to determine how we can assist you. A case number and investigator may then be assigned. The investigator will contact you and provide with your case number within approximately two weeks after receiving your investigation request. Please know that an investigation could take several months. If you need assistance sooner, you may wish to contact a private attorney.

Note: The '<' and '>' characters are not allowed in this form for security purposes.

If you prefer to print this form and submit it via fax or mail, please click here to download a PDF copy.

Consumer Information







A copy of this form will be sent to the email address provided.


Format: MMYYYY
Example: If you were born in January of 1970, you would enter 011970

Please note: this office may need to verify your date of birth and social security number at some point during the investigation. Please do not put your social security number on this form.




Complaint Details





(Credit card, social security number, etc.)


(Money lost, credit report inaccurate, etc. )




















Supporting Documentation

SECURITY NOTICE: The documents you attach are being sent over the internet. Please DO NOT attach any documents that contain the following:
  • Social security numbers
  • Date of birth
  • Passwords
  • Sensitive or identifying information that could be used to compromise or steal your identity, or
  • Other information that may violate your privacy.
Please be sure to tell us about all of the documents that may support your allegations in the sections above.

If we need additional information from you, we will:
  • Contact you directly
  • Tell you what documents we need, and
  • Arrange for you to provide it to us in a more secure manner.


Only PDF, JPEG, WAV and MP3 files accepted.

Verification

In filing this request, I understand and agree that the Attorney General and the Attorney General's Office staff are not my private attorneys, but instead represent the State of Kansas in enforcing laws designed to protect the public from deceptive and unconscionable business acts and practices. I understand that Kansas Law limits the period of time during which I may file any private legal action(s). I further understand and agree that the contents of this request may be forwarded to the business or person the request is directed against, may be forwarded to other appropriate agencies, and will become accessible to others under the Kansas Open Records Act. I hereby authorize any party to whom the Attorney General directs this complaint to release any and all information about this matter, including account information, to the Kansas Attorney General's Office. Finally, I declare and verify under penalty of perjury and the laws of Kansas that all of the foregoing is true and accurate to the best of my knowledge.