Download Annual Credit Report Request Template for Free

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You have the right to get a free copy of your credit file disclosure, commonly called a credit report, once every 12 months, from each of
the nationwide consumer credit reporting companies - Equifax, Experian and TransUnion.
For instant access to your free credit report, visit
For more information on obtaining your free credit report, visit or call 877-322-8228.
Use this form if you prefer to write to request your credit report from any, or all, of the nationwide consumer credit reporting companies. The
following information is required to process your request.
Omission of any information may delay your request.
If additional information is needed to process your request, the consumer credit
reporting company will contact you by mail.
Your request will be processed within 15 days of receipt and then mailed to you.
Annual Credit Report Request Form
Once complete, fold (do not staple or tape), place into a #10 envelope, affix required postage and mail to:
Annual Credit Report Request Service P.O. Box 105281 Atlanta, GA 30348-5281.
Copyright 2004, Central Source LLC
I want a credit report from (shade
each that you would like to
Shade here if, for security
reasons, you want your credit
report to include no more than
the last four digits of your
Social Security Number.
Shade Circle Like This >
Not Like This >
Social Security Number:
- -
Date of Birth:
/ /
Month Day
First Name
Last Name
JR, SR, III, etc.
Current Mailing Address:
House Number Street Name
City State ZipCode
Apartment Number / Private Mailbox
For Puerto Rico Only: Print Urbanization Name
Street NameHouse Number
Previous Mailing Address (complete only if at current mailing address for less than two years):
Fold HereFold Here
Fold HereFold Here
Please use a Black or Blue Pen and write your responses in PRINTED CAPITAL LETTERS without touching the sides of the boxes like the examples listed below:
For Puerto Rico Only: Print Urbanization NameApartment Number / Private Mailbox
Annual Credit Report Request Template
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