Investigation Request Form

Innovis will complete an investigation of items you request on this form. We will, if necessary, contact the original source to verify the accuracy of the information. Once we complete our investigation, usually within 30 days of the date we received your request, we will provide you with the results of our investigation by mail. To ensure your request is processed accurately, please make sure all attachments are legible and return this investigation form to begin the investigation process. Please allow 3-5 business days for mail delivery following the completion of the investigation.

Your Identification Information:

First Name	MI	Last Name	Generation
			Choose: Sr. Jr. II III IV V VI VII VIII IX

Address

City	State	Zip
	Select ----------------- Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Federated States of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming -------------------- (AE) Armed Forces Africa (AA) Armed Forces Americas (AE) Armed Forces Canada (AE) Armed Forces Europe (AE) Armed Forces Middle East (AP) Armed Forces Pacific

Social Security Number		Date of birth (MM/DD/YYYY)
– –		/ /
Email Address

Home Phone		Business/alternate Phone	Ext.
– –		– –

To enhance your credit report, enter your employment information:

Employer's Name

Employer's Address

City	State	Zip
	Select ----------------- Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Federated States of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming -------------------- (AE) Armed Forces Africa (AA) Armed Forces Americas (AE) Armed Forces Canada (AE) Armed Forces Europe (AE) Armed Forces Middle East (AP) Armed Forces Pacific

Account Information

Company Name:

Account Number:

This information is important because:

This is not my account.	This account is in bankruptcy.
I have never paid late.	This account is closed.
I am a victim of identity theft.	I have paid this account in full.
Identity theft victim - police report attached.	I paid this account before it went to collection or before it was charged off.
Other (please explain): Note: Only text visible in the box below will be printed.

If you wish to dispute identity or address information, please write your dispute in the space below and attach a copy of your driver's license or government-issued ID with the correct name or address. Note: Only text visible in the box below will be printed.

Mail this form to:

Innovis Consumer Assistance
PO Box 1534
Columbus, OH 43216-1534

 

Intentionally making any false statement to a consumer reporting agency for the purpose of having it placed on a consumer report is punishable by law.