Non-T-Mobile Customer Fraud Collection Dispute Form (Identity Theft Dispute)

If you are a non-T-Mobile customer who has been contacted by a collection agency regarding an outstanding debt with T-Mobile that you are disputing as Identity Theft, please complete the following request to initiate an investigation.

Backend Form Name

GroupName

FileName

Subject

Is New Incident Attachment

NoYes

Account Owner Information

First Name

Last Name

Email Address

Contact Phone Number (10-Digits)

This field must contain 10 digits(s).

T-Mobile Account Number (9-Digits)

This field must contain 9 digits(s).

Social Security Number (last 4 digits only)

This field must contain 4 digits(s).

Street address Line 1

Street address Line 2

City

State

Zip

Have you lived at this address for the last 365 days?

Details of your dispute:

Supporting Document(s)

Label1

Label2

Label3

Attach Document(s)

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