Credit Reporting Class Action Claim Form

Credit Reporting Class Action Claim Form
Submit your claim for the credit reporting class action. Please provide accurate details to help us process your claim efficiently. Do not include sensitive account or government ID numbers.
Full Name
First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Mailing Address
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Partial Credit Report Reference (last 4 digits or masked reference)
Type of Credit Reporting Issue
Other
Date(s) Issue Occurred
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Please describe your credit reporting issue
Do you have supporting documentation?
Upload Supporting Documents (if available, omit sensitive information)
Cancelof
Should be Empty: