Identity Theft Affidavit: $25.00

To make certain that you do not become responsible for the debts incurred by an identity thief, you must provide proof that you didn't create the debt to each of the companies where accounts were opened or used in your name. A working group composed of credit grantors, consumer advocates and the Federal Trade Commission (FTC) developed this ID Theft Affidavit to help you report information to many companies using just one standard form.

If you have not registered yet, please register with Tyler Lee Randolph, P.C.

First Name
Middle Initial
Last Name
Telephone
E-Mail
Address Line 1
Address Line 2 (optional)
City
State
Zip Code
How did you find out
about this site?
Create a Username
(at least 6 characters)
Create a Password
Confirm Password
Limited Services Agreement

If you have already created your account with Tyler Lee Randolph, P.C., please log in here.

Username
Password
Forgot your username or password?