For convenience, fill in the form before printing. 
Innovis

Fraud & Active Duty Alert Request Form

I am requesting (please select one)

 An Initial Fraud Alert be added to my Innovis Credit Report
 An Extended Fraud Alert be added to my Innovis Credit Report
(Please include a copy of your ID Theft Report)
 An Active Duty Alert be added to my Innovis Credit Report
 To remove a fraud alert from my Innovis Credit Report
 To remove an Active Duty Alert from my Innovis Credit Report

Your Identification Information:

First Name MI Last Name Generation
Address
City State Zip
Social Security Number         Date of birth (MM/DD/YYYY)
        / /

Your Phone Numbers:

The phone numbers you provide will be included in the alert(s) added. Credit grantors may use these numbers to verify your identity, before granting credit in your name.

Home Phone   Business/alternate Phone Ext.
 
 

Your Email Address (optional):


Mail this form to:

Innovis
Attn: Consumer Assistance
P.O. Box 1373
Columbus, OH 43216-1373