Driver’s License Fraud Alert Request Letter Template Form

[Your Full Name]
[Your Address]
[City, State, ZIP Code]
[Email Address]
[Phone Number]

Date: [Date]

To: [State DMV / Motor Vehicle Agency Name]
[Fraud Unit / Investigations Division / Driver Records Department / Other]
[Address]
[City, State, ZIP Code]

Subject: Request for Fraud Alert or Fraud Review on Driver’s License Record

Dear [Recipient Name or Sir/Madam],

1. Driver Information

Full Name: [Your Full Name]
Date of Birth: [Date of Birth]
Driver’s License or ID Number: [Number, if known]
State of Issuance: [State]
Current Address: [Address]

If applicable, prior address on file:

[Prior Address]

2. Notice of Suspected Fraud

I am writing to report suspected unauthorized use of my driver’s license or identification information and to request a fraud review of my record.

I believe my record may have been affected by:

☐ identity theft
☐ unauthorized use of my license number
☐ improper duplicate license or ID issuance
☐ false address change
☐ fraudulent citation or driving record issue
☐ misuse by another person
☐ other: [Describe]

3. Description of the Issue

The suspected fraud or misuse involves the following:

[Describe what happened]

Date discovered: [Date]

If known, the issue relates to:

[Incorrect address]
[Unexpected notice or citation]
[Unauthorized transaction or record change]
[Duplicate credential concern]
[Other details]

4. Incorrect or Disputed Record Information

The following information appears to be incorrect, fraudulent, or unauthorized:

[Describe the wrong address, citation, record entry, duplicate license, suspension issue, or other problem]

If additional details are known, include them here:

[Insert details]

5. Request for Fraud Alert or Protective Action

I respectfully request that your agency:

review my driver’s license or identification record for fraud;
place any available fraud alert, warning, restriction, or internal note on my file;
correct any inaccurate or unauthorized information;
advise me whether additional forms, proof of identity, or supporting documents are required;
confirm in writing what action has been taken, if possible.

If your agency does not use a formal “fraud alert,” please treat this letter as a request for the closest available fraud review, identity theft review, or record protection process.

6. Additional Protection Request

If available, I also request consideration of the following:

☐ enhanced identity verification before future record changes
☐ review of duplicate credential issuance
☐ restriction on address or replacement requests without additional proof
☐ notation of identity theft concern on file
☐ review of recent record activity
☐ other: [Describe]

7. Supporting Documents

I am including or can provide the following, if needed:

☐ copy of current identification
☐ police report
☐ citation or notice received
☐ proof of address
☐ fraud affidavit or complaint form
☐ credit or identity theft documentation
☐ other: [Describe]

8. Contact Information

Please contact me regarding this matter at:

[Your Full Name]
[Phone Number]
[Email Address]
[Mailing Address]

9. Closing

Thank you for your prompt attention to this matter. I request that my record be reviewed as soon as possible and that I be informed of any next steps needed to protect my driver’s license file.

10. Signature

Sincerely,

Signature: __________________________
Name: [Your Full Name]
Date: [Date]

11. Optional Internal Reference

State: [State]
License or ID Number: [Number]
Date Fraud Discovered: [Date]
Police Report Number, if any: [Number]
Supporting Form Submitted:

☐ yes
☐ no
☐ to be submitted separately