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Please review our Instructions and Policy on disputing information found in your consumer reports.
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 SB Checks Consumer Advocate, contact our Dispute Resolution Center at 1-888-725-2535.

Your Information

First Name*

Middle Name

Last Name*

Phone Number*

Your Email*

Address*

City*

State*

Zip Code*

Last Four Digits of Social Security Number*

Company Information

Name of Company Applied to*

I have a copy of my Background Report.  Yes No

Criminal Charge Disputes

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

Case Number

Jurisdiction

State

Reason For Dispute

Describe Your Dispute

Verification Dispute
.
.
.

Type of Verification

Which Employer/Education Are You Disputing?

Describe Your Dispute

Additional Information

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