Experian Credit Report Dispute Form

Send this form directly to the credit bureau (Experian, TransUnion or Equifax) that supplied the information. First, fill out the top part of this form. Next print the creditor name and account number of the item in question in the Creditor column. Make sure to print the specific reason for your disagreement in the Dispute column. Sign the form in the space marked Signature and mail the form to the appropriate credit bureau.

First Name________ Middle___ Last______ Jr.____Sr.__

Address____________________________________________

City/State/Zip ________________________________________

Social Security Number (required) ________________________

Signature____________________________________________

CREDITOR

DISPUTE

COMMENTS

Mail this form to:ExperianP.O. Box 2002Allen , TX 75013