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A voluntary form for filing a report with law enforcement and disputes with credit reporting agencies and creditors about identity theft-related problems. Visit This affidavit is for victims of identity theft. To avoid delays do not use this form if you have already filed a Form 14039 for this incident. A voluntary form for filing a report with law enforcement, and disputes with credit reporting agencies and creditors about identity theft-related problems. A voluntary form for filing a report with law enforcement, and disputes with credit reporting agencies and creditors about identity theft-related problems. Please complete and submit this form if you are a victim of tax related identity theft and would like the Pennsylvania Department of Revenue to open an.Please complete and submit this form if you are an actual or potential victim of identity theft and would like the IRS to mark your. Fill out the FTC ID Theft Affidavit completely and accurately. to accept it instead of a police report or instead of the creditor's own affidavit form.