[Your Full Name]
[Your Current Address]
[City, State, ZIP Code]
[Email Address]
[Phone Number]
Date: [Date]
To: [Consumer Reporting Agency Name]
[Agency Address]
[City, State, ZIP Code]
Subject: Request to Place Security Freeze on Credit File
Dear [Agency Name or Consumer Assistance Department],
1. Request for Security Freeze
I am writing to request that you place a security freeze on my credit file as soon as possible.
This request is being made to help protect my personal information and to restrict unauthorized access to my credit report.
Please use the following information to identify my file:
-
Full Legal Name: [Full Name]
-
Date of Birth: [Date of Birth]
-
Social Security Number: [Full SSN or Last Four Digits, if appropriate]
-
Current Address: [Current Address]
-
Previous Address(es) for the Past Two Years, if applicable: [Previous Address(es)]
Full Legal Name: [Full Name]
Date of Birth: [Date of Birth]
Social Security Number: [Full SSN or Last Four Digits, if appropriate]
Current Address: [Current Address]
Previous Address(es) for the Past Two Years, if applicable: [Previous Address(es)]
3. Reason for Request
I am requesting this security freeze because: [General precaution / suspected fraud / identity theft concern / data breach / other].
If relevant, additional details are as follows: [Optional Details].
4. Supporting Documents
I am enclosing copies of documents to help verify my identity and address, as requested or required by your procedures.
Enclosures may include:
-
☐ Government-issued photo identification
-
☐ Utility bill or bank statement
-
☐ Proof of current mailing address
-
☐ Other: [Describe]
☐ Government-issued photo identification
☐ Utility bill or bank statement
☐ Proof of current mailing address
☐ Other: [Describe]
5. Confirmation Request
Please send me written confirmation once the security freeze has been placed on my credit file.
Please also provide any instructions or reference information I may need in the future to temporarily lift or remove the freeze.
If you need additional information to process this request, please contact me at:
Phone: [Phone Number]
Email: [Email Address]
Mailing Address: [Mailing Address]
Thank you for your attention to this matter.
7. Signatures
Sincerely,
Signature: __________________________
Name: [Your Full Name]
Date: [Date]