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Consumer Protection
Disputereport

How to Dispute Your Report

You should have a copy of your report. If you do not have a copy of your report, please request a copy here: Request a Copy of Your Report

The information required below is for the exclusive purpose of confirming your identity. Should you have any questions regarding this Form or would prefer to dispute your report directly with a BIB Consumer Advocate, contact our Dispute Resolution Center at 877-439-3900.

You may also fax your dispute directly to our Dispute Resolution Center at 877-439-3901 or send a letter detailing your concerns to:

Background Investigation Bureau
Attn: Dispute Resolution
9710 Northcross Center Court
Huntersville, NC 28078


Subject Information

Your Name *
Are You the Subject of the Report? * Yes No
If Not, What is Your Relationship to the Subject?
Subject Name As It Appears On The Report *
Date of Birth *
Social Security Number *
Current Street Address *
Apt / Suite
City *
State *
  ZIP Code *
Driver's License Number *
Issuing State *
Phone *
Email *
Have You Received a Copy of Your Background Report? * Yes No
Have You Received a Copy of the FCRA Summary of Your Rights? * Yes No
Can We Communicate With You Regarding This Matter Via Email? * Yes No
 
 

Company Information

Name of Company Applied to *
Company Phone
Company Email

Criminal Charge Disputes

If the same charge is listed more than once, only one notation of the disputed charge is required.

Case Number Jurisdiction State Reason for Dispute
Describe your Dispute
Additional Dispute

Verification Disputes

Type of Verification What Employer/Education are You Disputing
Describe your Dispute
Additional Dispute

Additional Information

If you would like to provide us with additional information to verify, please upload it, otherwise you may skip this step.

File to Upload



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