[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],
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]
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]
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