York County Sheriff'S Office Identity Theft Victim'S Packet Page 7
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17Name_______________________________ _________________________________ Page 2
York County Sheriff's Office Report Number__________________________________
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ii) Name (if known)_____________________________________________________________
Address (if known)_______________________________________________________________
Phone number(s) (if known)________________________________________________________
Additional Information ___________________________________________________________
15. I do not know who used my information or identification documents to get money, credit, loans,
goods or services without my knowledge or authorization.
16. Additional comments: (for example, description of the fraud, which documents or information
were used or how the identity thief gained access to your information) (Attach additional pages
as necessary).
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