Date*

Your Name*

First Middle Last Suffix

Your Social Security Number*

Your Address*

Street Address Address Line 2 City State ZIP Code

Reason for free credit report*

I am unemployed and currently looking for employment

I currently receive government assistance through SNAP also known as food stamps.

Name Of Credit Reporting Agency*

TransUnion Address

Experian Address

Equifax Address

Signature

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Comments

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CL Free Credit Report Assistance Unemployed