Innovis Consumer Relations Department Security Freeze Request

[Pages:1]Innovis Consumer Relations Department Security Freeze Request PO Box 26 Pittsburgh PA 15230

Dear Sir or Madam This letter Serves as an Official signed, written request to obtain any: Security Freeze from Innovis on consumer file/disclosure report. Here is the following information requested to receive the freeze on my consumer file.

First Name: Last Name: Address: Telephone Number: Social Security Number: Date of Birth:

Please find enclosed , a legible copy of my Social Security Card and current, valid driver's license showing my current address and date of birth.

Thank you

Thank you _____________________ Printed Name & Signature

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