Fillable Printable Request for Your TransUnion Credit Report
Fillable Printable Request for Your TransUnion Credit Report
Request for Your TransUnion Credit Report
*
Optional
Current Address
Request for Your TransUnion Personal Credit Report
First Name
Determine if you qualify
for a FREE Personal
Credit Report
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.
Previous Address
Apt. No.
City Zip CodeState
Zip CodeStateCity
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
Previous Address
For items 1-5, a TransUnion
credit file must have been
the basis for the adverse
credit decision.
You may be eligible for a
FREE Personal Credit Report
under the Federal FACT Act.
For information, please visit
www.annualcreditreport.com
Name of Credit Generator Date of Denial Letter
1.
Within the last 60 days, I was denied credit or was notified of another credit-related adverse action.
2.
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
Company's Address
6. I am unemployed and intend to apply for employment (limited to 1 free report per 12 mos.)
Phone Nu
mber for Case
Wor
ker
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.
STEP 2
If you have moved in
the past two years,
please enter your
previous address.
STEP 1
Fill out your personal
information
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
large print.
If you do not qualify
for a FREE Personal
Credit Report,
circle that which
applies to you
Fill out
payment
information if
necessary
Based on my state and my situation, the cost of my Personal Credit Report is:
(Enter the amount circled in Step 3 or enter $0.00 if applicable.)
$
Please include a check payable to TransUnion LLC in the amount of:
(Enter the total from the two lines above.)
STEP 3
STEP 4
STEP 5
Signature
Obtaining a credit report under false pretenses is a federal crime.
Date
Where to Mail
Sign, then mail this form to:
TransUnion LLC
P.O. Box 1000
Chester, PA 19022
(800) 888-4213
$
.
.
.
Note:
If you selected a box 1-8
in Step 2, please skip
ahead to Step 4.
Enclosing the following
additional information
will help us expedite
your request:
Proof of address,
e.g, utility bill
Copy of denial letter
in the event of denial
Copy of police report
in the event of fraud
■
I would like to receive my Personal Credit Report in Braille.
■
I would like to receive my Personal Credit Report in large print.
■
I would like to receive my Personal Credit Report in audio format.
I would also like a credit score to be included with my Personal Credit Report.
(Enter $9.95.)
State
1
st
Request
2
nd
Request
Additional
Time Frame
California $8.00 $8.00 $8.00 Any Time
Colorado FREE $8.00 $8.00 Calendar Year
Connecticut $5.00 $7.50 $7.50 12-month
Georgia
FREE FREE FREE Any Time
Maine FREE $5.00 $5.00 12-month
Maryland FREE $5.00 $5.00 12-month
Massachusetts FREE $8.00 $8.00 Calendar Year
Minnesota $3.00 $3.00 $3.00 Any Time
Montana $8.50 $8.50 $8.50 Any Time
New Jersey FREE $8.00 $8.00 12-month
Puerto Rico
FREE
FREE FREE Any Time
Vermont FREE $7.50 $7.50 12-month
Virgin Islands $1.00 $1.00 $1.00 Any Time
All Others $11.50 $11.50 $11.50 Any Time
$
