[Your Full Name]
[Your Address]
[City, State, ZIP Code]
[Email Address]
[Phone Number]
Date: [Date]
To: [Company / Bank / Agency / Service Provider Name]
[Department or Contact Name, if known]
[Address]
[City, State, ZIP Code]
Subject: Unauthorized Address Change Notification
Dear [Recipient Name or Sir/Madam],
I am writing regarding the following account, policy, file, or customer record:
Account / Policy / Reference Number: [Number]
Name on Record: [Full Name]
Date of Birth or Other Identifier, if needed: [Identifier]
2. Notice of Unauthorized Address Change
I recently discovered that the address associated with my account or record appears to have been changed without my knowledge or authorization.
I did not request, approve, or authorize this address change.
The unauthorized or incorrect address currently associated with the account, if known, is:
[Incorrect Address]
If the incorrect address is not fully known, describe the issue here:
[Insert details]
My correct address should remain or be updated as follows:
[Correct Address]
[City, State, ZIP Code]
Please update your records to reflect the correct address listed above.
5. Request for Review and Correction
I respectfully request that you:
correct the address on file immediately;
review the account or record for any unauthorized activity related to this change;
stop sending future notices, statements, or correspondence to the incorrect address;
confirm in writing that the issue has been corrected.
If additional verification is required, please contact me using the information listed in this letter.
6. Security or Fraud Concerns
Because this address change was unauthorized, I also request that you review whether any of the following additional steps are appropriate:
☐ account flag or fraud alert
☐ identity verification before future changes
☐ temporary restriction on address updates
☐ review of recent account activity
☐ other: [Describe]
Additional concerns, if any:
I am including or can provide the following supporting information, if needed:
☐ copy of identification
☐ proof of current address
☐ account statement or notice
☐ prior correspondence
☐ other: [Describe]
Please send confirmation or contact me at:
[Your Full Name]
[Phone Number]
[Email Address]
[Mailing Address]
9. Closing
Thank you for your prompt attention to this matter. I request that this issue be reviewed and corrected as soon as possible to prevent further problems or unauthorized activity.
10. Signature
Sincerely,
Signature: __________________________
Name: [Your Full Name]
Date: [Date]