CREDIT REPORT DISPUTE FORM

If you feel there are inaccuracies in your report, you should write directly to the credit bureau (Experian, Trans Union or Equifax) that supplied the information, and use the address provided in the credit report. First, fill out the top part of this form. Then print the creditor name and account number of the item in question in the Creditor column. Also, print the specific reason for your disagreement in the Dispute column. If you have additional information that you believe supports your dispute, include it in the comments column. Finally, sign the sheet in the space marked Signature and mail the entire form to the appropriate credit bureau. We also recommend writing directly to the creditor (bank, department store or other lender) detailing the error and the corrective actions you have taken.



First Name________________ Middle___ Last______________________ Jr.____Sr.____

Address_____________________________________________________________________

City/State/Zip _______________________________________________________________

Social Security Number (necessary to access your credit reports) _________________

Signature____________________________________________________________________


Creditor Information

 

 

Dispute Information

 

 

 

Comments