Texas Department of Public SafetyLaw Enforcement Academy

5805 N. Lamar Blvd, Bldg C Austin, Texas, 78752• 512-424-2211

April 7, 2011The Texas Department of Public Safety (TDPS) and the National Organization for Victim Assistance (NOVA) present a one day summit on Identity Theft—its economic, personal and employment impacts. Identity theft victimizations can be complex and challenge every area of the justice system in protecting communities and addressing victimization.Hosted by the Texas Department of Public Safety-Victim Services, the interactive victim assistance Summit will encourage participants to contribute their experiences and strategies in identity theft victim assistance. The Summit will use state and national experts to address a range of identity theft victim assistance issues to include:• The types and generations of identity theft• Identity theft laws• Identity theft awareness and protection strategies• Identity theft victim assistance tools

Hosted by:

Sponsors:

Sponsored by:

Please complete all fields of this form. Registration deadline is 3/31/2011.Send the completed form to Melissa Atwood: Melissa.Atwood@txdps.state.tx.us, or

Ruth Anderson-Cole Fax: 703-535-5500.

Your Name

Your Title/Agency

Your Address

Email Address

Phone Number

Have you been the victim of identity theft? Yes NoIf yes, what’s your story?

Are you willing to share your story with Summit participants? Yes No

What do you want to learn from this summit?

What resources do you recommend for identity theft victims?

Would you like to receive updates and information from NOVA? Yes No

One DayIdentity TheftVictim Assistance Summit April 7, 2011

Texas Department of Public SafetyLaw Enforcement Academy

5805 N. Lamar Blvd, Bldg C Austin, Texas, 78752• 512-424-2211

Return to: Melissa Atwood • Melissa.Atwood@txdps.state.tx.us• or Ruth Anderson-Cole •Fax: 703-535-5500

Note: Space is limited to the first 50

Texas D

epartment of P

ublic Safety, Law

Enforcem

ent Academ

y, April 7, 2011

Your professional role: _______________________________________________

Circle O

ne

•T

he information w

as presented in a way that I could easily understand.

Strongly D

isagreeD

isagreeU

ndecidedA

greeS

trongly A

gree

•I have a better understanding of the crim

e of identity theft.S

trongly Disagree

Disagree

Undecided

Agree

Strongly

Agree

•I have a better understanding of how

to protect myself against identity theft.

Strongly D

isagreeD

isagreeU

ndecidedA

greeS

trongly A

gree

•I have a better understanding of how

to assist a victim of identity theft.

Strongly D

isagreeD

isagreeU

ndecidedA

greeS

trongly A

gree

•I w

ould like more training in identity theft victim

assistance. Yes N

o

Areas: _______________________________________________________

Additional C

omm

ents: _______________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

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Texas D

epartment of P

ublic Safety, Law

Enforcem

ent Academ

y, April 7, 2011

Your professional role: _______________________________________________

Circle O

ne

•T

he information w

as presented in a way that I could easily understand.

Strongly D

isagreeD

isagreeU

ndecidedA

greeS

trongly A

gree

•I have a better understanding of the crim

e of identity theft.S

trongly Disagree

Disagree

Undecided

Agree

Strongly

Agree

•I have a better understanding of how

to protect myself against identity theft.

Strongly D

isagreeD

isagreeU

ndecidedA

greeS

trongly A

gree

•I have a better understanding of how

to assist a victim of identity theft.

Strongly D

isagreeD

isagreeU

ndecidedA

greeS

trongly A

gree

•I w

ould like more training in identity theft victim

assistance. Yes N

o

Areas: _______________________________________________________

Additional C

omm

ents: _______________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

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