FTC Identity Theft Report Submission Log (PDF)

Log FTC report details, outreach to banks or bureaus, outcomes, and next steps in a court-ready PDF.

Identity theft report details

Track report numbers, contacts, and outcomes in one log.

Victim nameReport date

FTC report numberPolice report numberNotes

Document outreach, actions, and outcomes.

Entry 1

DateAccount or institutionAction takenReference #

MethodContact nameContact phone or email

OutcomeNext step

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Your form or file data is sent briefly to our server to generate your PDF for download.
No long-term storage — only short-lived processing to return your file.
Not used for training or marketing; avoid highly sensitive data if you prefer to keep everything client-side.