Extended Alert Request
Please send your completed form and required
supporting documentation by standard mail to:
P.O. Box 2000
Chester, PA 19016
To place an extended fraud alert on your credit file, you will need to complete this form and print it. Mail the
form, as well as a copy of your identity theft report and proof of both your identity and current address,
to TransUnion at the address provided. You must photocopy and include one (1) item from the “Identity”
list below and two (2) items from the “Address” list. NOTE: The item you select from the identity category
must contain your Social Security number and the items you select from the address category must contain
your current mailing address.
Identity Address
Social Security card Drivers license
Letter from Social Security Administration Utility bill
Military ID Bank or credit union statement
Medicard or Medicare card Canceled check
Signed homeless shelter letter
Stamped post office box receipt
First Name Last Name Middle Initial Suffix
Current Address City State ZIP Code
Former Address City State ZIP Code
Phone Number 1 Ext. Phone Number 2 Ext.
Social Security Number Date of Birth (mm/dd/yy)
In the event that a creditor needs to contact me, please use the telephone number(s) I have provided below.
Government issued ID
State ID card
Print Form