Simpliverified Dispute Form

In order to file a dispute, please review and fill out all of the information below. Our customer service department will review your dispute and get back to you as soon as possible.

Dispute

Which Type Of Report Are You Disputing Today?*
- Background Screening Report
- Drug Screening Report
- Credit Report
- Multiple Reports
Company Who Requested Report? [If Available]
Your File Number [If Available]:
Name*
First Last
Email*
Phone*
Date of Birth*
MM slash DD slash YYYY
SSN [Last 4 Digits Only]*
Current Address*
Street Address Address Line 2 City State ZIP Code
Explain why you are disputing your report.
Phone
This field is for validation purposes and should be left unchanged.

Dispute Form

Dispute

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File a Dispute

Dispute Form

Dispute

Information

Resources

Support

Get Started

Member of PBSA