Get Help Production

First name*

Phone number*

Numeric Digits only, Please do not include symbols or your mobile country code

Email*

example@example.com

Gender

Age range

Note: if you do not wish to submit your contact details, please phone IDCARE on

1800 595 160 (AU) or 0800 121 068 (NZ) during business hours (8AM - 5PM AEST)

Country of residence*

State (NZ)

State (AUS)

Other*

Postcode*

Any requirement for relay or interpreter services?

NoYes

Please choose the service

Please define the language

Preferred Contact Time (AEST)

In periods of high demand for our service, you may be contacted outside of this preferred time.

Are you experiencing crimes being committed using your exposed information, such as the creation of transaction accounts, loans or other accounts being established without your authority?

NoYes

Describe what has occurred:

Please be brief but detailed.0/2000

Have you been referred to IDCARE by an organisation?

NoYes

What is the organisation name?

Do you have a referral code for this organisation?

NoYes

Please enter the code

Only Alphabetic, Numeric and Hyphen (-) Characters are permited in this field

I have read and agree with the Privacy Policy*

Yes

Privacy Policy

Please verify that you are human*