REQUEST TO PLACE A SECURITY FREEZE
Please fill out the form below completely and fax back along with the requested information
below to (800) 237-6526.
 Name:
 Street Address:                                               Apt#:
 City, State, Zip Code
 Telephone Number:
 Social Security Number:
 Date of Birth
 Signature:                                                    Date:
    A legible copy of your government issued identification card containing your address, and
    A legible copy of your utility bill with your name and current mailing address
      By checking this box, I understand that I am requesting the CoreLogic Rental Property
Solutions, LLC (“CLRPS”) Consumer Relations Dept. to place a freeze on my CLRPS
consumer file. By doing so, I understand that no CLRPS client will be able to access my
consumer file through the CLRPS system without me contacting the Consumer Relations
Department and requesting to remove the freeze.
PLEASE NOTE: CLRPS cannot place, lift or remove a security freeze on your credit bureau
report. For assistance in placing a security freeze on your credit bureau file, please contact the
credit bureau(s) (Equifax, Experian or TransUnion) directly.
                                                CLRPS-CRA-LTR-Security Freeze Request -110216-V1.1