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Identity Theft Questionnaire
Please fill out this form and click submit. All fields must be completed to submit form.
Case Number (see letter you received)
Defendant(s)
Victim Name
Phone Number
Email
Home Address
Mailing Address
Do you know the defendant(s) listed in your letter?
Yes
No
Were you aware that you are the victim of Identity or Financial theft?
Yes
No
Did you give the defendant(s) permission to possess your personal identifying or financial information?:
Yes
No
Did you give the defendant(s) permission to use your personal identifying or financial information?
Yes
No
If yes, did you make a police report and if so, what is the name of the police agency, date of report, and report number?
Yes
No
Agency Name
Report Number
Report Date
Have you or your family had a financial loss due to the identity theft?
Yes
No
If yes, please explain
How has this crime of identity theft affected you? Please provide details that you would like to share.
We apologize for any inconvenience this has caused you. Thank you in advance for your assistance in this investigation. Should you have any questions, please contact the San Joaquin County District Attorney's Investigation Unit on the message line
(209) 468-0659
.
Sincerely,
San Joaquin County District Attorney’s Office
Identity Theft Investigation Unit
222 East Weber Avenue, Stockton, CA 95202
By clicking SUBMIT, I hereby certify that the above events are true and correct to the best of my knowledge.
Submit
Katherine Mahood
Deputy District Attorney
Fahnda Hashish
Deputy District Attorney
Angel Pineda
Deputy District Attorney
Message Line: (209) 468-0659
Online Identity Theft Questionnaire
Download and Print Identity Theft Questionnaire
Environmental, Retail Theft, & Fraud Division
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