Credit Report Dispute Form
Found inaccuracies in your report? If so, use this form to contact the credit bureau (Experian, Equifax, or TransUnion) that
supplied the information. Simply follow the instructions provided, then mail the form to the appropriate credit bureau.
Instructions
1) Write the name and account number of the creditor in question under the Item in Dispute section.
2) Write in the reason for your dispute in the Reason for Dispute section.
3) Sign and mail to the appropriate credit bureau.
1. Contact Information
Name:_ ___________________________________________________________ Birth Date:_ _______________________
Address:____________________________________________________________________________________________
City:_____________________________________________________ State:_________________ Zip:_________________
Social Security Number:_____________________________________ Phone:____________________________________
2. Dispute Information
Item in Dispute
Creditor: _________________________________________________ Account Number:_ __________________________
This information is inaccurate because:
m I have never paid late.
m This is not my account.		
m This account is closed.
m This account is in bankruptcy.
m I paid this before it went to collection or before it was charged off.
m I have paid this account in full.
m Other:_ __________________________________________________________________________________________
Item in Dispute
Creditor: _________________________________________________ Account Number:_ __________________________
This information is inaccurate because:
m I have never paid late.
m This is not my account.		
m This account is closed.
m This account is in bankruptcy.
m I paid this before it went to collection or before it was charged off.
m I have paid this account in full.
m Other:_ __________________________________________________________________________________________
Item in Dispute
Creditor: _________________________________________________ Account Number:_ __________________________
This information is inaccurate because:
m I have never paid late.
m This is not my account.		
m This account is closed.
m This account is in bankruptcy.
m I paid this before it went to collection or before it was charged off.
m I have paid this account in full.
m Other:_ __________________________________________________________________________________________
3. Sign and Mail
Signature: ______________________________________________________________________ Date:________________

Mail/call the appropriate
credit bureau.

Experian
Call 1-888-397-3742 or visit
www.experian.com/disputes.

Equifax
P.O. Box 740256
Atlanta, GA 30374

TransUnion
P.O. Box 2000
Chester, PA 19022