CONSUMER CREDIT REPORT UPDATE FORM
EQUIFAX UNIQUE NUMBER:___________________________________ DATE:___________________________________________
Upon review of your personal credit report, this form must be completed if you wish to make corrections.
Name:
Last Name First Name Initial Suffix (Sr., Jr., etc.)
Current Address:
Street Address Apt. City Province Postal Code
Previous Address:
Street Address Apt. City Province Postal Code
Date of Birth: Social Insurance No.
Optional
Month/Day/Year
Current Employment:
Public Record Information
Courthouse Name or Agency____________________________________ Case Number or Account or Plaintiff________________________________
Reason for Investigation: Not Mine Satisfied Dismissed Discharged Released
Other (Please explain) _____________________________________________________________________________________________________
Courthouse Name or Agency____________________________________ Case Number or Account or Plaintiff____________________________
Reason for Investigation: Not Mine Satisfied Dismissed Discharged Released
Other (Please explain) ___________________________________________________________________________________________________
Credit Account Information
Company Name____________________________________________ Account Number ___________________________________________
Reason for investigation:
Not Mine Paid in full Account Closed Transferred/Refinanced Current/Previous Rating Incorrect
Other (Please explain) _____________________________________________________________________________________________________
Company Name____________________________________________ Account Number __________________________________________
Reason for investigation:
Not Mine Paid in full Account Closed Transferred/Refinanced Current/Previous Rating Incorrect
Other (Please explain) ____________________________________________________________________________________________________
Signature: _____________________________________________________________Daytime Phone #: ________________________________
Have you included photocopies of all necessary documents and identification to update your personal Credit Report?
(Ex: receipts, legal documents, 2 pieces of valid identification, including proof of current address)
Equifax will verify the necessary information and mail you a confirmation.
Please check here if you would like a revised copy of your credit report sent to creditors who have recently accessed your file.
(Please provide a contact name, fax and phone number for each creditor)
Please visit our Consumer Information Center at www.equifax.ca for more information
National Consumer Relations There is another credit reporting company in Canada:
P.O. Box 190, Station Jean-Talon, Trans Union of Canada
Montreal, Quebec H1S 2Z2 P.O. Box 338 L.C.D.I.
Facsimile: (514) 355-8502 Hamilton, Ontario, L8L 7W2
Tel:1-877-323-2598 (514-493-2598) Tel: 1-800-663-9980
0403 Email: consumer.relations@equifax.com Tel: 1-877-713-3393 (for Quebec)
