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Credit Bureau Disputes File Disclosures & Freeze

Request for Free Annual Credit Disclosure / Adverse Action Report

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When to use it

Use to request your statutory free annual credit report under FACTA or a free credit report following adverse action (denial of credit, insurance, or employment).

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[CLIENT FULL NAME] [CLIENT ADDRESS LINE1] [CLIENT CITY], [CLIENT STATE] [CLIENT ZIP] Phone: [CLIENT PHONE] | Email: [CLIENT EMAIL] DOB: [CLIENT DOB] | SSN (last 4): XXX-XX-[CLIENT SSN LAST4] Date: [TODAY] [RECIPIENT NAME] [RECIPIENT ADDRESS BLOCK] Sent via Certified Mail, Return Receipt Requested: [LETTER CERTIFIED NUMBER] RE: Request for Free Consumer File Disclosure Pursuant to FCRA Section 612 (15 U.S.C. § 1681j) To Whom It May Concern at [BUREAU NAME], I am writing to formally request a complete free consumer file disclosure from [BUREAU NAME], pursuant to Section 612 of the Fair Credit Reporting Act (15 U.S.C. § 1681j). Basis for Free Report Request: [CUSTOM NOTES] Under 15 U.S.C. § 1681j, consumers are legally entitled to receive a full disclosure of their file free of charge under the annual disclosure mandate (§ 1681j(a)), following adverse action (§ 1681j(b)), or due to unemployment/fraud concerns (§ 1681j(c)). Enclosed are identity verification documents (photo ID, SSN proof, utility bill). Please mail my full credit report disclosure to my address listed above. Sincerely, ____________________________________ [CLIENT FULL NAME]

Legal basis

15 U.S.C. § 1681j(a)15 U.S.C. § 1681j(b)12 CFR § 1022.136

Enclose

  • Copy of government photo ID
  • Copy of Social Security Card
  • Copy of utility bill showing address
  • Adverse action notice letter (if applicable)

Before you send

  • Prepare identity verification documents.
Know this first
  • Under 15 U.S.C. § 1681j(b), consumers are entitled to a free report within 60 days of receiving an adverse action notice.

Follow up

Allow about 15 days for a response.