Submit this completed form and a copy of at least one of the following documents to verify your identity.
Documents: Check the box next to the document you are submitting: Passport, or Driver license or Department of Motor Vehicles identification card.
With a notice: If you received a notice from FTB, return this form with a copy of the notice to the address contained in the notice.
Self-reporting: If you have not received an FTB notice and are self-reporting potential risk for future impact to your tax account, mail or fax this form.
Contact: FTB does not initiate contact with taxpayers by email or fax.
| Question | Answer |
|---|---|
| Form Name | Form FTB 3552 |
| Form Length | 2 pages |
| Fillable? | Yes |
| Fillable fields | 28 |
| Avg. time to fill out | 5 min |
| Other names | FTB 3552, FTB3552, FTB 3552 PC, Form 3552, Form FTB 3552, Identity Theft Affidavit, California identity theft affidavit |
| Edition | 12-2024 |
| Issuing agency | Franchise Tax Board |
| Where to send | If you have not received an FTB notice and are self-reporting potential risk for future impact to your tax account, mail this form to the Filing Compliance Bureau MS F151, Franchise Tax Board, PO Box 1468, Sacramento CA 95812-1468 |
| Matches the agency's file | Yes, checked October 1, 2026 |
| Official source | Form FTB 3552 (Rev 12-2024), Franchise Tax Board |
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