Request for Your TransUnion Credit Report
Request for Your TransUnion Personal Credit Report
Determine if you qualify
for a FREE Personal
Work/Alternative Phone NumberHome Phone Number
Name of Employer* Your eMail Address*
Date of BirthSocial Security Number
State of Issue*Driver's License Number*
Suffix (Jr., Sr.)
Last NameMiddle Name
Street Address Apt. No.
City Zip CodeState
If a military address,
write APO or FPO for
city and one of these
abbreviations for state:
AA Armed Forces Americas
AE Armed Forces Africa, Canada,
Europe or Middle East
For items 1-5, a TransUnion
credit file must have been
the basis for the adverse
You may be eligible for a
FREE Personal Credit Report
under the Federal FACT Act.
For information, please visit
Name of Credit Generator Date of Denial Letter
Within the last 60 days, I was denied credit or was notified of another credit-related adverse action.
Within the last 60 days, I was denied employment - By Whom?
3. Within the last 60 days, I was denied insurance - By Whom?
4. Within the last 60 days, I was denied a government license or benefit - By Whom?
5. Within the last 60 days, I was denied a housing/rental apartment - By Whom?
Company's Phone Number
Company Worked for Last
6. I am unemployed and intend to apply for employment (limited to 1 free report per 12 mos.)
mber for Case
Welfare Office I am Registered With
Name of Case Worker
7. I am a recipient of public welfare assistance (limited to 1 free report per 12 mos.)
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.
If you have moved in
the past two years,
please enter your
Fill out your personal
AP Armed Forces Pacific
Free Annual Reports and
TransUnion Reports are
accessible to the Vision
Impaired. On-line reports
are compatible with screen
readers. Accessible formats
can be requested by
telephone or by mail; please
specify Braille, audio or
Request for Your TransUnion Credit Report PDF
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