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INTEGRATED WORKFORCE SOLUTIONS DESIGNED WITH A PASSION FOR EMPLOYEE PRIVACY
Dispute Intake Form
The Fair Credit Reporting Act (FCRA) allows you to dispute the accuracy of any information provided in the background check processed by Pre-Employ.com or any agency.
Please fill out as much information as possible so that we can start your dispute.
First Name
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Last Name
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Date of Birth (MM/DD)
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Last 4 digits of SSN
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Email Address
Phone Number
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Background Check Case #
Search Number
General Dispute Reason
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-- Select General Dispute Reason --
The criminal records reported have been dismissed/expunged and should not be reported.
The criminal records reported are inaccurate.
The criminal records reported do not belong to me.
The information reported is inaccurate.
The information reported does not belong to me.
I would like clarification on the criminal records reported.
I would like clarification on the information reported.
Summary of Dispute
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