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Use this form when requesting a free credit report if you are unemployed or receive Government Assistance

Date*
MM slash DD slash YYYY
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
TransUnion Consumer Relations P.O Box 2000 Chester, PA 19022-2000
Experian Address
Experian National Consumer Assistance Center P.O. Box 4500 Allen, TX 75013
Equifax Address
Equifax Credit Information Services, LLC P.O. Box 740241 Atlanta, GA 30374
Signature
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Name
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