Date

Name of Creditor
Billing Inquiries
Address
City, State, Zip Code

Re:                               Disputed Charges resulting from identity theft
Account number:        xxxxx

Dear Sir or Madam:

I am writing to follow up on my telephone call to you of  (date of phone call) to dispute a fraudulent [charge/debit] on my account in the amount of $___.  I am a victim of identity theft, and I did not make this [charge/debit].  I am requesting that the [charge be removed/the debit reinstated], that any finance and other charges related to the fraudulent amount be credited, as well, and that I receive an accurate statement.

Enclosed is a copy of my Identity Theft Report supporting my position (include a copy of the police report as well if you have made one). 

Please investigate this matter and correct the fraudulent [charge/debit] as soon as possible.

Sincerely,
[Your Name]

Enclosures:
Identity Theft Report