Free Credit Report Authorization Form

Please fill out this form to complete your authorization request.
Applicant Information
Name
Address
Phone number
Consent and Disclosure
I acknowledge that I have been informed of the following:
I am providing this authorization voluntarily and understand the purpose of the credit report inquiry.
I have the right to revoke this authorization at any time by providing written notice to [Your Company Name].
The credit report may include sensitive information, and I consent to the collection and use of my data as per applicable privacy laws.
I hereby declare that the above information required for the authorization is true.
Authorization
I, the undersigned, hereby authorize [Your Company Name], its representatives, or agents, to obtain and review my credit report from any credit reporting agency for the purpose of assessing my creditworthiness and/or conducting a background check.
Date:
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