Do I need a notary for the Identity Theft Affidavit and Report?

No. The police report is signed and dated without a notary. The form notes that some creditors may separately require notarization, so check with each company.

How do I submit the Identity Theft Affidavit and Report?

Give the completed report to the responding officer or mail it to the Bethalto Police Department Records Division at the address stated on the form.

What information does the report ask for?

It asks for your contact details, information about the theft and any suspected person, and a detailed summary. The form requests related records and asks you to sign and date the declaration.

Can I use this form with creditors?

The department says many credit companies accept the affidavit, but some may require their own form. Check with each company before sending this report.

Bethalto, IL · Madison County

No notary required

Identity Theft Affidavit and Report

Bethalto residents use this form to report identity theft to the Bethalto Police Department and provide information about suspected fraud.

What this form is

This form lets a person report identity theft to the Bethalto Police Department. It asks for contact details, information about the theft and suspect, and a detailed account of the events; it also asks the signer to declare that the information is true. The form says to provide related records and can be given to the responding officer or mailed to the department.

Who needs it

Bethalto residents who want to make an identity theft report with the Bethalto Police Department should complete this form.

How to submit it

Provide the completed report to the responding officer, or mail it to Bethalto Police Department, Attention: Records Division, 213 N. Prairie St., Bethalto, IL 62010.

About notarization

This report is signed and dated without a notary; it includes a perjury declaration, and creditors may separately require notarization, so check with each company.

How to submit this form

1
Download the Form
Download the Bethalto Police Department Identity Theft Affidavit and Report.
2
Complete the Report
Fill in your contact information, details about the theft and suspect, and a summary of the events. Sign and date the declaration.
3
Gather Related Records
Attach related records in your possession, as the form requests.
4
Submit to the Police Department
Give the completed report to the responding officer or mail it to the Bethalto Police Department Records Division.

Frequently asked questions

Do I need a notary for the Identity Theft Affidavit and Report?: No. The police report is signed and dated without a notary. The form notes that some creditors may separately require notarization, so check with each company.
How do I submit the Identity Theft Affidavit and Report?: Give the completed report to the responding officer or mail it to the Bethalto Police Department Records Division at the address stated on the form.
What information does the report ask for?: It asks for your contact details, information about the theft and any suspected person, and a detailed summary. The form requests related records and asks you to sign and date the declaration.
Can I use this form with creditors?: The department says many credit companies accept the affidavit, but some may require their own form. Check with each company before sending this report.

Need something notarized?

This Identity Theft Affidavit and Report doesn’t need a notary — but Illinois residents can notarize other documents online with a commissioned online notary.