Identity Misuse Declaration Guide

Summary

The Declaration of Identity Misuse form should comply with Texas Government Code § 411.0421. It must include your full name, Social Security number, drivers license number, date of birth, and any other identifying information. A statement declaring the misuse of your identity and a unique verification password (30 characters or fewer) should also be included. Ensure all sections are filled out completely and accurately. A template is provided for victims of identity theft to fill out and submit to the Texas Department of Public Safety.

Full Conversation

Can you draft a template i can print and fill out to bring to the sheriff and da
Certainly! Here's a template you can use for the Declaration of Identity Misuse:
---
DECLARATION OF IDENTITY MISUSE
Page * of *
Texas Government Code § *.*
[Your County], Texas
I, the undersigned individual, make the following declaration pursuant to Texas Government Code Section *.*, for submission to the Texas Department of Public Safety:
*. IDENTIFICATION INFORMATION
- Full Name: ____________________________________________
- Social Security Number: __________________________________
- Texas Driver’s License Number: ____________________________
- Date of Birth: ___________________________________________
- Other Identifying Information (if applicable): _________________________________________________________
*. STATEMENT OF IDENTITY MISUSE
I declare that my name, Social Security number, driver’s license number, date of birth, or other identifying data has been used by another person to frustrate proper law enforcement without my consent.
*. UNIQUE VERIFICATION PASSWORD
I designate the following unique password (* characters or fewer) for use by the Department of Public Safety and authorized law enforcement to verify my identity:
Password: ___________________________________________
*. SIGNATURES
- Signed and declared by the individual:
Signature: ___________________________________
Printed Name: ________________________________
Date: ______________________
---
Page * of *
Signed in conjunction with the attorney representing the State in [Your County]:
- Name: _______________________________________
- Title: ________________________________________
- Signature: ___________________________________
- Date: ______________________
Signed in conjunction with the Sheriff of [Your County]:
- Name: _______________________________________
- Title: ________________________________________
- Signature: ___________________________________
- Date: ______________________
---
Make sure to fill in all the blanks with your information before printing and submitting the form. Let me know if you need any further assistance!
Make * page only
Certainly! Here's a concise one-page template for the Declaration of Identity Misuse:
---
DECLARATION OF IDENTITY MISUSE
Texas Government Code § *.*
[Your County], Texas
I, the undersigned individual, make the following declaration pursuant to Texas Government Code Section *.*, for submission to the Texas Department of Public Safety:
*. IDENTIFICATION INFORMATION
- Full Name: ____________________________________________
- Social Security Number: __________________________________
- Texas Driver’s License Number: ____________________________
- Date of Birth: ___________________________________________
- Other Identifying Information (if applicable): _________________________________________________________
*. STATEMENT OF IDENTITY MISUSE
I declare that my name, Social Security number, driver’s license number, date of birth, or other identifying data has been used by another person to frustrate proper law enforcement without my consent.
*. UNIQUE VERIFICATION PASSWORD
I designate the following unique password (* characters or fewer) for use by the Department of Public Safety and authorized law enforcement to verify my identity:
Password: ___________________________________________
*. SIGNATURES
- Signed and declared by the individual:
Signature: ___________________________________
Printed Name: ________________________________
Date: ______________________
Signed in conjunction with the attorney representing the State in [Your County]:
- Name: _______________________________________
- Title: ________________________________________
- Signature: ___________________________________
- Date: ______________________
Signed in conjunction with the Sheriff of [Your County]:
- Name: _______________________________________
- Title: ________________________________________
- Signature: ___________________________________
- Date: ______________________
---
Fill in all the blanks with your information before printing and submitting the form. Let me know if you need further assistance!
So this can be used for other victims of identity theft make the form with the blank lines with what's to be written in under it
Case Rating: *
Certainly! Here's a one-page template with guidance for each section:
---
DECLARATION OF IDENTITY MISUSE
Texas Government Code § *.*
[Your County], Texas
I, the undersigned, make this declaration for submission to the Texas Department of Public Safety:
*. IDENTIFICATION INFORMATION
- Full Name: [Write your full name here]
- Social Security Number: [Enter your SSN]
- Texas Driver’s License Number: [Enter your driver's license number]
- Date of Birth: [Enter your date of birth]
- Other Identifying Information (if applicable): [Enter other info]
*. STATEMENT OF IDENTITY MISUSE
I declare that my name, Social Security number, driver’s license number, date of birth, or other identifying data has been used by another person to frustrate proper law enforcement without my consent.
*. UNIQUE VERIFICATION PASSWORD
I designate the following unique password (* characters or fewer) for use by the Department of Public Safety and authorized law enforcement to verify my identity:
Password: [Enter password]
*. SIGNATURES
- Signed and declared by the individual:
Signature: [Sign here]
Printed Name: [Print your name]
Date: [Enter date]
Signed in conjunction with the attorney representing the State in [Your County]:
- Name: [Enter name]
- Title: [Enter title]
- Signature: [Sign here]
- Date: [Enter date]
Signed in conjunction with the Sheriff of [Your County]:
- Name: [Enter name]
- Title: [Enter title]
- Signature: [Sign here]
- Date: [Enter date]
---
Ensure all sections are filled out completely and accurately. Let me know if you need further assistance!
Lines above the parentheses
Case Rating: *
It seems you're looking for guidance on formatting the template. To add lines above the parentheses, you can format it like this:
---
DECLARATION OF IDENTITY MISUSE
Texas Government Code § *.*
[Your County], Texas
I, the undersigned, make this declaration for submission to the Texas Department of Public Safety:
*. IDENTIFICATION INFORMATION
- Full Name: ______________________ [Write your full name here]
- Social Security Number: ______________________ [Enter your SSN]
- Texas Driver’s License Number: ______________________ [Enter your driver's license number]
- Date of Birth: ______________________ [Enter your date of birth]
- Other Identifying Information (if applicable): ______________________ [Enter other info]
*. STATEMENT OF IDENTITY MISUSE
I declare that my name, Social Security number, driver’s license number, date of birth, or other identifying data has been used by another person to frustrate proper law enforcement without my consent.
*. UNIQUE VERIFICATION PASSWORD
I designate the following unique password (* characters or fewer) for use by the Department of Public Safety and authorized law enforcement to verify my identity:
Password: ______________________ [Enter password]
*. SIGNATURES
- Signed and declared by the individual:
Signature: ______________________ [Sign here]
Printed Name: ______________________ [Print your name]
Date: ______________________ [Enter date]
Signed in conjunction with the attorney representing the State in [Your County]:
- Name: ______________________ [Enter name]
- Title: ______________________ [Enter title]
- Signature: ______________________ [Sign here]
- Date: ______________________ [Enter date]
Signed in conjunction with the Sheriff of [Your County]:
- Name: ______________________ [Enter name]
- Title: ______________________ [Enter title]
- Signature: ______________________ [Sign here]
- Date: ______________________ [Enter date]
---
If you need further assistance, feel free to ask!