Consumer Credit Report Update Form - Equifax

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CONSUMER CREDIT REPORT UPDATE FORM
EQUIFAX UNIQUE NUMBER:___________________________________ DATE:___________________________________________
Upon review of your personal credit report, this form must be completed if you wish to make corrections.
Name:
Last Name
First Name
Initial
Suffix (Sr., Jr., etc.)
Current Address:
Street Address
Apt.
City
Province
Postal Code
Previous Address:
Street Address
Apt.
City
Province
Postal Code
Date of Birth:
Social Insurance No.
Optional
Month/Day/Year
Current Employment:
Public Record Information
Courthouse Name or Agency____________________________________ Case Number or Account or Plaintiff________________________________
Reason for Investigation:
Not Mine
Satisfied
Dismissed
Discharged
Released
Other (Please explain) _____________________________________________________________________________________________________
Courthouse Name or Agency____________________________________ Case Number or Account or Plaintiff____________________________
Reason for Investigation:
Not Mine
Satisfied
Dismissed
Discharged
Released
Other (Please explain) ___________________________________________________________________________________________________
Credit Account Information
Company Name____________________________________________
Account Number ___________________________________________
:
Reason for investigation
Not Mine
Paid in full
Account Closed
Transferred/Refinanced
Current/Previous Rating Incorrect
Other (Please explain) _____________________________________________________________________________________________________
Company Name____________________________________________
Account Number __________________________________________
Reason for investigation:
Not Mine
Paid in full
Account Closed
Transferred/Refinanced
Current/Previous Rating Incorrect
Other (Please explain) ____________________________________________________________________________________________________
Signature: _____________________________________________________________Daytime Phone #: ________________________________
Have you included photocopies of all necessary documents and identification to update your personal Credit Report?
(Ex: receipts, legal documents, 2 pieces of valid identification, including proof of current address)
Equifax will verify the necessary information and mail you a confirmation.
Please check here if you would like a revised copy of your credit report sent to creditors who have recently accessed your file.
(Please provide a contact name, fax and phone number for each creditor)
Please visit our Consumer Information Center at
for more information
National Consumer Relations
There is another credit reporting company in Canada:
P.O. Box 190, Station Jean-Talon,
Trans Union of Canada
Montreal, Quebec H1S 2Z2
P.O. Box 338 L.C.D.I.
Facsimile: (514) 355-8502
Hamilton, Ontario, L8L 7W2
Tel:1-877-323-2598 (514-493-2598)
Tel: 1-800-663-9980
Email:
Tel: 1-877-713-3393 (for Quebec)
0403

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