Credit Dispute Form Name Address (Include Apt or Unit # if you have one) City State Zip Code DOB SSN Phone Email CHOOSE YOUR CREDIT MONITORING SERVICE (SELECT ONE) Get Your Latest 3 Bureau Report for $1 for $15 Day Trial then $26/m . Must Keep Active If You Decide to Move Forward With Services. Provide Login Credentials Below Sign Up For MyFreeScoreNow OR Sign Up For Smart Credit Credit Monitoring Service MyFreeScoreNow Smart Credit MUST KEEP THE CREDIT MONITORING SERIVCE ACTIVE DURING THE PROCESS AS THAT'S HOW WE GET OUR UPDATES. Email PW Upload Passport or ID (Preferably Passport) (Must show all 4 corners and on solid color background NOT in your lap or holding in your hand) Upload Utility Bill, Cable Bill, Phone Bill, Internet Bill, Bank Statement or Etc. Must Show Current Address as this will be Proof Of Address (Must show all 4 corners on a solid color background NOT in your lap or holding in your hand) * Before submitting please just double check and make sure everything is put in correctly to speed up the process for us to get started. Thanks in advance. Submit