Request For Your Transunion Personal Credit Report

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Request for Your TransUnion Personal Credit Report
STEP 1
First Name
Middle Name
Last Name
Fill out your personal
Suffix (Jr., Sr.)
information
Social Security Number
Date of Birth
Optional
*
Name of Employer*
Your eMail Address*
Driver's License Number*
State of Issue*
Current Address
If a military address,
Street Address
Apt. No.
write APO or FPO for
city and one of these
City
State
Zip Code
abbreviations for state:
AA Armed Forces Americas
Home Phone Number
Work/Alternative Phone Number
AE Armed Forces Africa, Canada,
Europe or Middle East
AP Armed Forces Pacific
Previous Address
If you have moved in
Previous Address
Apt. No.
the past two years,
please enter your
City
State
Zip Code
previous address.
STEP 2
1. Within the last 60 days, I was denied credit or was notified of another credit-related adverse action.
Determine if you qualify
for a FREE Personal
Name of Credit Generator
Date of Denial Letter
Credit Report
2. Within the last 60 days, I was denied employment - By Whom?
For items 1-5, a TransUnion
credit file must have been
3. Within the last 60 days, I was denied insurance - By Whom?
the basis for the adverse
credit decision.
4. Within the last 60 days, I was denied a government license or benefit - By Whom?
You may be eligible for a
5. Within the last 60 days, I was denied a housing/rental apartment - By Whom?
FREE Personal Credit Report
under the Federal FACT Act.
For information, please visit
6. I am unemployed and intend to apply for employment (limited to 1 free report per 12 mos.)
Company Worked for Last
Free Annual Reports and
TransUnion Reports are
accessible to the Vision
Company's Address
Company's Phone Number
Impaired. On-line reports
are compatible with screen
7. I am a recipient of public welfare assistance (limited to 1 free report per 12 mos.)
readers. Accessible formats
can be requested by
telephone or by mail; please
Welfare Office I am Registered With
specify Braille, audio or
large print.
Name of Case Worker
Phone Number for Case Worker
8. I certify that I have reason to believe that my TransUnion credit file contains inaccurate data due to fraud.
9. None of the above apply to me. Please check the next page for pricing.

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