Equifax Dispute Request Form PDF Details

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QuestionAnswer
Form NameEquifax Dispute Request Form
Form Length5 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min 15 sec
Other namesEquifax Credit Report Dispute Resolution Form, Equifax Credit Report Dispute Investigation Form

Form Preview Example

DISPUTE REQUEST FORM

To dispute any inaccuracies on your Equifax credit report, please send – via U.S. Mail - this form along with copies of the items below in order to verify your information and address. To ensure that your request is processed accurately, please enlarge copies of any items that contain small print (i.e. driver's license, W2 Forms, etc.). Copies that are not legible or contain highlighting may cause us to request that you resubmit your request for clarity. You can also submit disputes online at myequifax.com.

Identification

Information

 

 

 

 

 

 

 

 

 

First Name

 

 

Last Name

 

 

 

Middle Initial

 

Suffix

Current Address

 

 

City

 

 

 

State

 

 

Zip

Former Address

 

 

City

 

 

 

State

 

 

Zip

SSN

-

-

Date of Birth

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

M

M

D

D

Y

Y

Y

Y

 

 

Proof of Identity

 

 

 

Proof of Address

 

 

 

 

(check box for and include a copy of one of the following)

 

 

 

(check box for and include a copy of one of the following)

 

 

 

 

 

 

 

 

 

 

 

 

 

Social Security Card

 

 

 

Driver's license or state identification card

 

 

 

 

Pay stub with Social Security Number

 

 

 

Rental lease agreement/house deed

 

 

 

 

W2 or 1099 Form

 

 

 

Pay stub with address

 

 

 

 

 

 

 

 

Utility or phone bill (gas, electric, water, cable, mobile)

 

 

 

 

The item you select must contain your SSN

 

 

 

The item you select must contain your current mailing address

 

 

If your identity information differs from the information listed on your credit report, please provide a copy of your driver's license, social security card, or recent utility bill that reflects the correct information.

Complete, Print, and send (via U.S. mail) this form along with the requested documents to the following address:

Equifax Information Services LLC

P.O. Box 740241

Atlanta, GA 30374

FRAUD/IDENTITY THEFT VICTIM

Please check this box if you are disputing items on your credit report that you suspect to be fraudulent or a result of identity theft.

If you have a Police Report, FTC Identity Theft Report, or Affidavit of Fraud documenting fraud/identity theft, please include a copy with this request.

Dispute Personal Information (Is any of the information below incorrect on your credit report? If not, leave blank.)

 

 

Date of Birth (Which is incorrect)

 

 

 

 

 

 

Phone Number (Which is incorrect?)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

-

-

 

 

 

 

M M

D D

Y

Y

Y Y

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Social Security Number (Which is incorrect?)

 

 

 

 

 

Employers (Which are incorrect?)

 

 

 

 

 

 

-

-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Names (Which are incorrect?)

Addresses (Which are incorrect?)

DISPUTE REQUEST FORM

Credit Account Information

Enter the information for accounts or inquiries on your credit report with any inaccuracies. Include correct information (e.g. Balance, payment date) and attach supporting documentation (e.g. account statement, payment confirmation) if applicable. Any documentation provided will be shared with the companies with which the dispute is being made as part of the dispute process.

 

 

 

Company Name

 

 

 

Account Number/Inquiry Date

 

 

 

DISPUTE 1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reason for Dispute(select the most appropriate option):

 

 

 

 

 

 

Account Not Mine

Account Closed

Current/Previous Payment Status Incorrect

Fraud

 

 

Account Paid in Full

Inquiry Removal

Last payment date/Closed Date Incorrect

 

 

 

Mixed with Another Person

Not Liable

Date of Last Activity Incorrect

 

 

Other (please explain)

Dispute Details

 

 

 

Company Name

 

 

 

Account Number/Inquiry Date

 

 

 

DISPUTE 2

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reason for Dispute(select the most appropriate option):

 

 

 

 

 

 

Account Not Mine

Account Closed

Current/Previous Payment Status Incorrect

Fraud

 

 

Account Paid in Full

Inquiry Removal

Last payment date/Closed Date Incorrect

 

 

 

Mixed with Another Person

Not Liable

Date of Last Activity Incorrect

 

 

Other (please explain)

Dispute Details

 

 

 

Company Name

 

 

 

Account Number/Inquiry Date

 

 

 

DISPUTE 3

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reason for Dispute(select the most appropriate option):

 

 

 

 

 

 

Account Not Mine

Account Closed

Current/Previous Payment Status Incorrect

Fraud

 

 

Account Paid in Full

Inquiry Removal

Last payment date/Closed Date Incorrect

 

 

 

Mixed with Another Person

Not Liable

Date of Last Activity Incorrect

 

 

Other (please explain)

Dispute Details

DISPUTE REQUEST FORM

 

 

 

Company Name

 

 

 

Account Number/Inquiry Date

 

 

 

DISPUTE 4

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reason for Dispute(select the most appropriate option):

 

 

 

 

 

 

Account Not Mine

Account Closed

Current/Previous Payment Status Incorrect

Fraud

 

 

Account Paid in Full

Inquiry Removal

Last payment date/Closed Date Incorrect

 

 

 

Mixed with Another Person

Not Liable

Date of Last Activity Incorrect

 

 

Other (please explain)

Dispute Details

 

 

 

Company Name

 

 

 

Account Number/Inquiry Date

 

 

 

DISPUTE 5

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reason for Dispute(select the most appropriate option):

 

 

 

 

 

 

Account Not Mine

Account Closed

Current/Previous Payment Status Incorrect

Fraud

 

 

Account Paid in Full

Inquiry Removal

Last payment date/Closed Date Incorrect

 

 

 

Mixed with Another Person

Not Liable

Date of Last Activity Incorrect

 

 

Other (please explain)

Dispute Details

 

 

 

Company Name

 

 

 

Account Number/Inquiry Date

 

 

 

DISPUTE 6

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reason for Dispute(select the most appropriate option):

 

 

 

 

 

 

Account Not Mine

Account Closed

Current/Previous Payment Status Incorrect

Fraud

 

 

Account Paid in Full

Inquiry Removal

Last payment date/Closed Date Incorrect

 

 

 

Mixed with Another Person

Not Liable

Date of Last Activity Incorrect

 

 

Other (please explain)

Dispute Details

DISPUTE REQUEST FORM

 

 

 

Company Name

 

 

 

Account Number/Inquiry Date

 

 

 

DISPUTE 7

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reason for Dispute(select the most appropriate option):

 

 

 

 

 

 

Account Not Mine

Account Closed

Current/Previous Payment Status Incorrect

Fraud

 

 

Account Paid in Full

Inquiry Removal

Last payment date/Closed Date Incorrect

 

 

 

Mixed with Another Person

Not Liable

Date of Last Activity Incorrect

 

 

Other (please explain)

Dispute Details

 

 

 

Company Name

 

 

 

Account Number/Inquiry Date

 

 

 

DISPUTE 8

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reason for Dispute(select the most appropriate option):

 

 

 

 

 

 

Account Not Mine

Account Closed

Current/Previous Payment Status Incorrect

Fraud

 

 

Account Paid in Full

Inquiry Removal

Last payment date/Closed Date Incorrect

 

 

 

Mixed with Another Person

Not Liable

Date of Last Activity Incorrect

 

 

Other (please explain)

Dispute Details

 

 

 

Company Name

 

 

 

Account Number/Inquiry Date

 

 

 

DISPUTE 9

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reason for Dispute(select the most appropriate option):

 

 

 

 

 

 

Account Not Mine

Account Closed

Current/Previous Payment Status Incorrect

Fraud

 

 

Account Paid in Full

Inquiry Removal

Last payment date/Closed Date Incorrect

 

 

 

Mixed with Another Person

Not Liable

Date of Last Activity Incorrect

 

 

Other (please explain)

Dispute Details

DISPUTE REQUEST FORM

 

 

 

Company Name

 

 

 

Account Number/Inquiry Date

 

 

 

DISPUTE 10

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reason for

Dispute(select the most appropriate option):

 

 

 

 

 

 

Account Not Mine

Account Closed

Current/Previous Payment Status Incorrect

Fraud

 

 

Account Paid in Full

Inquiry Removal

Last payment date/Closed Date Incorrect

 

 

 

Mixed with Another Person

Not Liable

Date of Last Activity Incorrect

 

 

Other (please explain)

Dispute Details

 

 

 

Company Name

 

 

 

Account Number/Inquiry Date

 

 

 

DISPUTE 11

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reason for Dispute(select the most appropriate option):

 

 

 

 

 

 

Account Not Mine

Account Closed

Current/Previous Payment Status Incorrect

Fraud

 

 

Account Paid in Full

Inquiry Removal

Last payment date/Closed Date Incorrect

 

 

 

Mixed with Another Person

Not Liable

Date of Last Activity Incorrect

 

 

Other (please explain)

Dispute Details

 

 

 

Company Name

 

 

 

Account Number/Inquiry Date

 

 

 

DISPUTE 12

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reason for Dispute(select the most appropriate option):

 

 

 

 

 

 

Account Not Mine

Account Closed

Current/Previous Payment Status Incorrect

Fraud

 

 

Account Paid in Full

Inquiry Removal

Last payment date/Closed Date Incorrect

 

 

 

Mixed with Another Person

Not Liable

Date of Last Activity Incorrect

 

 

Other (please explain)

Dispute Details

How to Edit Equifax Dispute Request Form Online for Free

You can easily create forms through our PDF editor. Revising the Equifax Credit Report Dispute Resolution Form file is not difficult in case you consider these steps:

Step 1: Select the button "Get Form Here" on the following website and click it.

Step 2: Now it's easy to update your Equifax Credit Report Dispute Resolution Form. Our multifunctional toolbar will allow you to insert, delete, modify, and highlight content as well as perform similar commands.

To complete the Equifax Credit Report Dispute Resolution Form PDF, enter the content for each of the sections:

stage 1 to writing Equifax Dispute Request Form

Jot down the details in the FRAUDIDENTITY THEFT VICTIM, Please check this box if you are, If you have a Police Report FTC, Dispute Personal Information Is, Date of Birth Which is incorrect, Phone Number Which is incorrect, Social Security Number Which is, Employers Which are incorrect, Names Which are incorrect, and Addresses Which are incorrect area.

Filling in Equifax Dispute Request Form step 2

You will be requested to write down the particulars to let the program complete the section Company Name, Account NumberInquiry Date, DISPUTE, Reason for Disputeselect the most, Other please explain, Dispute Details, Company Name, Account NumberInquiry Date, DISPUTE, Reason for Disputeselect the most, and Other please explain.

Finishing Equifax Dispute Request Form stage 3

The Dispute Details, Company Name, Account NumberInquiry Date, DISPUTE, Reason for Disputeselect the most, Other please explain, and Dispute Details box can be used to indicate the rights and responsibilities of both sides.

Filling out Equifax Dispute Request Form part 4

Finalize by checking the following fields and typing in the proper details: Company Name, Account NumberInquiry Date, DISPUTE, Reason for Disputeselect the most, Account Not Mine Account Paid in, Account Closed Inquiry Removal Not, CurrentPrevious Payment Status, Fraud, Date of Last Activity Incorrect, REQUEST FORM, Other please explain, Dispute Details, Company Name, Account NumberInquiry Date, and DISPUTE.

Equifax Dispute Request Form Company Name, Account NumberInquiry Date, DISPUTE, Reason for Disputeselect the most, Account Not Mine Account Paid in, Account Closed Inquiry Removal Not, CurrentPrevious Payment Status, Fraud, Date of Last Activity Incorrect, REQUEST FORM, Other please explain, Dispute Details, Company Name, Account NumberInquiry Date, and DISPUTE fields to insert

Step 3: Hit the button "Done". Your PDF file can be transferred. It's possible to obtain it to your computer or send it by email.

Step 4: To avoid possible future issues, you should definitely hold up to a pair of duplicates of every single document.

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