Formally Dispute Debt

All investigation responses will be mailed via USPS to the address you enter on this form at the time of dispute.

If you wish for the response by email, we are required to provide an additional disclosure and get your specific consent.

"*" indicates required fields

Name*

First Last

Account #*

How Do You Want To Be Reached? (Check all that apply)*

Mail

Email*

Address*

Street Address Address Line 2 City State ZIP Code

Reason For Dispute*

This is not my debt

The amount is wrong

Other

Please Explain Dispute*

Because the law requires some communications to be printed and mailed, we need special authorization from you if you prefer to receive those communications by email. Please review the disclosure and provide us with your authorization below.*

I confirm that I have the necessary computer equipment, software and internet connection in order to conduct business electronically. I hereby consent to doing so.

This document serves as a disclosure statement as required by the Electronic Signatures in Global and National Commerce Act (E-Sign Act). Please read this statement carefully before proceeding.
Consent to Electronic Transactions: By engaging in electronic communication and transactions with us, you acknowledge and agree that you have the necessary equipment, software, and internet access to participate in electronic transactions, and that you consent to conduct business electronically.
Scope of Communications: This disclosure statement applies to all electronic communications, documents, records, and signatures exchanged between us, whether initiated by you or us. These communications may include, but are not limited to, agreements, contracts, disclosures, notices, authorizations, and any other information related to our business relationship.
Paper Copies: You have the right to request a paper copy of any electronic communication or document generated during our business interactions. You may contact us using the provided contact information to request a paper copy, and reasonable fees for printing, shipping, and handling may apply.
Withdrawal of Consent: You may withdraw your consent to conduct business electronically at any time. However, this may impact our ability to provide certain services or fulfill our obligations. If you wish to withdraw your consent, please notify us using the contact information provided.
System Requirements: To access and retain electronic records, you must have a compatible device with internet access, a supported web browser, and software capable of opening and viewing PDF files, such as Adobe Acrobat Reader.
Confidentiality and Security: We take reasonable measures to protect the confidentiality and security of your electronic communications and transactions. However, please be aware that electronic communications are not entirely secure, and we cannot guarantee absolute confidentiality or the prevention of unauthorized access or interception by third parties.
Privacy Policy: Our privacy practices regarding the collection, use, and disclosure of your personal information are detailed in our Privacy Policy. By engaging in electronic transactions with us, you consent to the collection, use, and disclosure of your personal information in accordance with our Privacy Policy.
By proceeding with electronic communication and transactions, you acknowledge that you have read, understood, and agree to the terms and conditions outlined in this disclosure statement.