[Date]

[Your Name]
[Your Address]
[Your City, State, Zip Code]

(Write to one at a time:)

Equifax Information Services, LLC
Po Box 105169
Atlanta, GA 30348

  -or-

Experian
P.O. Box 9532
Allen, TX 75013

  -or-

TransUnion
Fraud Victim Assistance Department
P.O. Box 6790
Fullerton, CA 92834-6790

Dear Sir or Madam:

I am a victim of identity theft.  I am writing to request that you block the following fraudulent information from my credit report: (Identify item(s) to be blocked by name of source, such as creditors or tax court, and identify type of item, such as credit account, judgment, etc.). 

This information does not relate to any transaction that I have made.  I have enclosed a copy of my Identity Theft Report.  In addition, I have enclosed a copy of section 605B of the Fair Credit Reporting Act, which details your responsibility to block fraudulent information on my credit report resulting from identity theft.  Please let me know if you need any other information from me to block this information from my credit report. 

Sincerely,
[Your Name]

Enclosures:
Identity Theft Report