FreedomID™ Change Request Form

Please use the form below to make monthly changes to your group census or personal message.

Please Note: This form MUST BE SUBMITTED NO LATER THAN THE 25TH OF THE MONTH FOR CHANGES TO OCCUR FOR THE FOLLWING MONTH.

If you have any questions please contact memberservices@fidtp.com or call (888) 820-5959.


Add A Member To Your Group

Please complete the fields below to ADD a member to your group. 

Coverage "Effective" Date*
 

If you have multiple additions you can click here to download the Change Template. Once completed click the Upload Changes button below. PLEASE NOTE: You can use this form for DROPS as well by simply indicating Add or Drop in the Change Type column.

Bulk Upload Changes (Accepted formats are CSV, Excel)

Drop A Member From Your Group

Please complete the fields below to DROP a member from your group. 

Coverage Cancelation Date*
 
Offer Individual Purchased Coverage?


Change Your Special Message 

Monthly e-communications to your group includes your special message. If you would like to change your special message either for one month or permanently, please complete the fields below. Please Note: We do not edit your content - please check for spelling and punctuation errors. 

Please Change My Message
Please Type Your Message Below

This Change Request Form Was Submitted By

*
* *
 
*
*
Confirm You Have Reviewed The Data For Accuracy*

We Respect Your Privacy

We do not sell or otherwise disclose personal information about our members or website visitors. We may share information provided by and collected from our members with a) our service underwriter (IDT911, Inc.) we have retained to provide services on our behalf; b) third party service providers whose services are requested by visitors as part of their FreedomID services; and c) enrollment eligibility data requested by the group or association contact.

© 2017 FreedomID Theft Protection