Credit Report Dispute Form printable pdf download

Credit Report Dispute Form

CREDIT REPORT DISPUTE FORM

If you feel there are inaccuracies in your credit report, you should complete and sign this form

and mail it directly to the credit bureau (Experian, Trans Union or Equifax) that supplied the

information. It is also advisable to write 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 _________________________________________________________________________

Date of Birth __________ Social Security Number (necessary to access your credit reports) ________________

Signature____________________________________________________________________

CREDITOR

DISPUTE

COMMENTS

The creditor’s name, your account

The specific reason that you

number with them, and identification

disagree with the disputed item

of the item in question, including date

Mail this form to the appropriate credit bureau. Please refer to the credit report for the correct mailing address.

Credit Report Dispute Form