SECURITY FREEZE REQUEST FORM - Equifax
SECURITY FREEZE REQUEST FORM
To place a security freeze request for your Equifax credit report, please send ? via U.S. Mail - this form along with copies of the items
below in order to verify your information and address. Placing, temporarily lifting, and permanently removing a security freeze is free
and can also be done online at .
REQUEST FORM
Please Select a Service (only one)
Place a freeze
Temporarily lift an existing freeze. Starting
M M
Permanently remove an existing security freeze
D
D
and Ending
Y
Y
Y
Y
M M
D
D
Y
Y
Y
Y
Identification Information
First Name
Last Name
Middle Initial Suffix
Current Address
City
State
Zip
Former Address
City
State
Zip
SSN
-
-
Proof of Identity
(check box for and include a copy of one of the following)
Social Security Card Pay stub with Social Security Number W2 or 1099 Form
The item you select must contain your SSN
Date of Birth
M M
D
D
Y
Y
Y
Y
Proof of Address
(check box for and include a copy of one of the following)
Driver's license or state identification card Rental lease agreement/house deed Pay stub with address Utility or phone bill (gas, electric, water, cable, mobile)
The item you select must contain your current mailing address
Print and send (via U.S. mail) along with the requested documents to:
Equifax Information Services LLC P.O. Box 105788 Atlanta, GA 30348-5788
................
................
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