Dispute Report

Please enter your information and cause of dispute below. USAFact will then make every effort to ensure the accuracy of your background screen report and resolve this issue.

First Name *

Last Name *

Address *

City *

State *

Zip Code *

Email Address: *

*

Social Security Number (Last 4) * 🛈

Phone Number *

Report Number * 🛈

Report Type *

Name of Company Applied With *

Type of Dispute *

Reason for Credit Dispute *

Reason for Criminal Dispute *

Reason for Employer Verification Dispute *

Reason for Education Verification Dispute *

Reason for Driving Record Dispute *

Reason for Dispute *

Optional - Please upload any supporting documentation (max file size 20 MB)

Enter the word in the image *
captcha