Please complete this section using your full legal name. The more information that you provide to us, the faster we can investigate your case.
I do not have a middle name
Last name*: Suffix (Sr, Jr, III): NoneSrJrIIIIIIV
City*:
Email*:
To deliver the investigation results more quickly, we will (when possible) send them to you by email. BY PROVIDING YOUR EMAIL ADDRESS you consent to receiving your investigation results and any required disclosures by email.
If you DO NOT wish to receive investigation results by email, please check here: I DO NOT wish to receive investigation results by email.
SSN (last 4 digits)*:
I do not have a SSN
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Please click on the Upload button to upload a legible copy of your government-issued identification, e.g. Driver's License.
Upload your ID*: Upload ID File Types Allowed: PDF, JPG, GIF, PNG File Size must be less than 4 MB File size must be less than 10MB. Supported file formats: PDF, JPG, GIF or PNG.
File Types Allowed: PDF, JPG, GIF, PNG
File Size must be less than 4 MB
File size must be less than 10MB. Supported file formats: PDF, JPG, GIF or PNG.
Please enter the name of the property and the date you applied for an apartment.
If you believe that any of the CREDIT, RENTAL HISTORY, CRIMINAL or CIVIL COURT records in your report were inaccurate or incomplete at the time you were screened, please use this form to initiate a dispute.
You may only complete this dispute form on behalf of yourself (or as otherwise required by law). Complete the Dispute Section(s) which are applicable to you.
IDENTITY THEFT If your dispute is based on Identity Theft, you must also submit a copy of an Identity Theft Report (such as a police report; FTC report; or other report with an investigative agency).
The report must specifically identify the information on your screening report that you are disputing (such as specific credit items; specific criminal records; specific civil records; specific rental history records; etc.)
Please note, we are unable to process an identity theft dispute without all of the above information.
I am disputing the following:
Please provide us with any additional information regarding your dispute.
Upload any additional supporting documents.
File size must be less than 10MB. Supported file formats: PDF, JPG, GIF or PNG. Use CTRL or Command (Mac) to select multiple files.
By submitting this form I acknowledge and confirm that I am submitting this dispute on my own behalf, and that the information provided is true and correct to the best of my knowledge. Additionally, I confirm that any information that I am disputing based on a claim of identity theft does not relate to me or any transactions that I initiated.
Please select the checkbox below*: