Request Reinvestigation of Credit Report Entry
Date: 	

	
	
[name and address of credit bureau]
This is a request for you to reinvestigate the following items that appear on my credit report:
[  ] The following personal information about me is incorrect:

Erroneous Information	Correct Information	

		

[  ] The following accounts are not mine:

Creditor’s Name	Account Number	Explanation	

			

[  ] The account status is incorrect for the following accounts:

Creditor’s Name	Account Number	Correct Status	

			

[  ] The following information is too old to be included in my report:

Creditor’s Name	Account Number	Date of Last Activity	

			

[  ] The following inquiries are older than two years:

Creditor’s Name	Date of Inquiry	

		

[  ] The following inquiries were not authorized:

Creditor’s Name	Date of Inquiry	Explanation	

			

[  ] The following accounts were closed at my request and should say so:

Creditor’s Name	Account Number	

		

[  ] Other incorrect information:
Explanation
					
I understand that you will check each specified item, above, with the credit grantor reporting the information, remove any information the credit grantor cannot verify, or modify information that is incorrect or incomplete. I further understand that [choose the one that applies to you]: 
[  ] because I am requesting this reinvestigation after receiving my free annual credit report from you, you must complete your reinvestigation within 45 days of receipt of this letter. (15 U.S.C. 
§  1681j(a)(3).)
[  ] you must complete your reinvestigation within 30 days of receipt of this letter. (15 U.S.C. 
§  1681i(a).)
Sincerely,
Signature 	 Date 	
Printed or typed name 	
Address 	
	
Home phone	 Work phone 	
Social Security number