IDentity Theft is a major problem in America
Get the experts on your side
identity theft can go way beyond
credit cards and on-line shopping.
Unlike the majority of identity theft plans available, we’re not go- Identity Restoration
ing to simply send you a few forms or walk you through the steps Identity theft can be devastating, and the process of restoring
of identity restoration. your name can be overwhelming and costly. You need more
than “do it yourself ” information if it happens to you.
We’re going to do most of the work for you!
With the Identity Theft ShieldSM a trained expert will take
credit report the steps to restore your name and credit for you!
Evaluate your current credit standing with:
• An up-to-date credit report through Experian • Help reduce your out-of-pocket expenses and time
at no added cost spent away from work with valuable services from
• A personal credit score calculated by detection to resolution
an independent scoring service
• A detailed analysis of your personal credit score • Our Licensed Investigators will work on your
behalf to help correct identity theft issues you have with
Experts recommend that you review your credit affected agencies and institutions, including: Credit card
report regularly. The Identity Theft Shield makes companies, Financial Institutions All three credit repositories,
it easy. Federal Trade Commission, Social Security Administration,
Department of Motor Vehicles, U.S. Postal Service, Law
continuous credit monitoring enforcement personnel… and other organizations that may
Suspicious activity will be brought to your attention, be affected
providing you with early detection.
• Fraud alert notifications will be sent on your behalf to all
You’ll receive prompt notice if the credit repository three credit repositories, Social Security administration,
is notified that: Federal Trade Commission, U.S. Postal Service and affected
• New accounts have been opened in your name credit card companies and financial institutions.
• Derogatory notations have been added to your
credit report • Proactive searches of applicable local and national
• Public records have been added to your report databases will be made on your behalf to look for
• Inquiries have been made against your report information you may not be aware of, including:
• A change of address has been requested criminal activity in your name in your county’s records
and certain federal watch lists, Department of Motor Vehicle
records in your state, unknown addresses affiliated with
What sets us apart from your name, and banking activity in your name reported as
everything else in the market? fraudulent
• If the unthinkable happens to you, you’ll want more than a stan-
dardized info packet to help you resolve all your issues. Every case is Identity Restoration will not apply if the identity theft is the result of a dishonest,
unique, and often countless contacts are necessary. We’ll do most of criminal, malicious, or fraudulent act you, your spouse, or your child participated in,
the work for you! directed, or had knowledge of. Restoration services will not be provided for a known stolen
identity event that occurred prior to enrollment date. You must be an active member to
• Plans generally provide coverage for a specific credit card or bank ac- receive restoration services. Services are available for pre-existing conditions at a discounted
count. We help you with all issues related to identity theft, includ- rate. Services provided do not cover financial losses arising from the identity theft. A signed
ing issues with: limited power of attorney must be provided to Kroll when an Identity Theft Restoration
case is opened in order for Kroll to work on your behalf and/or provide the Proactive
• Law enforcement • Health benefit providers Database Searches listed. A stolen identity event does not include the theft or unauthorized
• DMV records • Employers or illegal use of your business name, d/b/a, or any other method of identifying your
• Postal records • And more...
oFFicE USE oNLY
Benefits provided by: Kroll Background America Activating your plan is easy! Choose one of these options:
1. Complete the application below 2. For questions or more information MODE
Coverage for you & your spouse • Sign as designated call: Patrice M. Gaul, 610-505-4145
Administered by: • Return it to Temple University PLAN
Pre-Paid Legal Services®, Inc., and subsidiaries Human Resources Department
Corporate Offices: P.O. Box 145 • Ada, OK 74821-0145 608 University Services Bldg (083-39) FRAN
1601 N. Broad Street
Philadelphia, PA 19122 GP# 62768
TEmPLE UNivErSiTY APPLicATioN: ofc Use only
Franchise Number: 62768
If you choose the bank draft option,
Today’s Date / / your account will be drafted on or Assigned Associate Number: ______________________________________
Associate Name: Farmington Adm.
about this date each month.
Month Day Year
Business Phone: 610-660-7708
For internal use only by
is available upon request.
Applicant Agreement: I understand that the written contract sets
forth the terms of my membership, including any exclusions or limitations, and agree to be
bound by the same. I further understand that the company will mail the written contract to me
MI at the address noted herein within the next 20 days. If I have not received my contract within
that time frame, I understand that it is my responsibility to call the Pre-Paid Legal Home Of-
fice at 1-800-654-7757 to obtain a copy. The written contract, together with this application,
Mailing Apt. /
constitutes the entire agreement between the company and the member with respect to the
Address membership, and there are no agreements, understandings, warranties or representations
other than as set forth herein and in the membership contract.
City Signature of Applicant X
State ZIP + 4
Member’s / / Work Phone - -
Date of Birth Month Day Year
Spouse Last Home Phone - -
Your privacy is a priority with us! PPLSI will not sell your email address or personal information of any
Email Address kind to third party vendors.
payment information To comPLETE, select the oNE payment option you Please fill out for Draft or
prefer. Your credit card charge or check is your receipt. credit card payment options:
Authorization for Electronic Transfers Drawn by and Payable for Premium: I hereby authorize Pre-Paid Legal charge amount $
[Identity Theft Shield plan]
Services®, Inc., to charge/draft my checking/savings account from Temple University. This authority is to remain in
effect until Pre-Paid Legal Services®, Inc., receives written notification from me revoking the authorization.
Your account will be drafted each month on or about the effective date of your membership.
Total enclosed by
check, money order, $ 12 95
or charged to credit card
Name of Institution
Institution Address Institution Transit #
Acct Holder Signature X
CITY STATE ZIP
Checking Account Savings Account
(Attach check from account to be drafted.) (Attach verification.)
I wish to pay by credit card until I revoke
monthly Payment by credit card this authorization in writing.
Card #: (Mo./Yr.)
Cardholder Signature: X Discover AMEX