Human Trafficking Online Dispute Form

You have the right to dispute information relating to your human trafficking experience.

If there is information in your report as a result of human trafficking, you have the right to dispute it. As a Consumer Reporting Agency, we are prohibited from providing adverse information resulting from human trafficking and want to assist you as best we can.

To efficiently process your request, please complete the form below. Be as detailed as possible and allow 2-7 business days for processing (although some may take longer depending on the nature of the case).

While having a copy of your report in question is not required, you can request a copy here if you would like for your records.

Online Dispute Form

Name *

First

Last

Date of Birth

Current Address *

Address Line 1

City

State

Zip Code

Driver's License Number *

Last 4 digits of your Social Security Number

Phone *

Email *

Confirm Email

Copy of Government-issued Identification

Click or drag a file to this area to upload.

Please upload a scanned copy of valid, unexpired identification.

Applicant ID *

Find it here

Jurisdiction *

Find it here

Case Number *

Find it here

Please describe disputed information: *

Please select one or more of the following supporting documents to provide:

A document that includes a determination that you were a victim of a form of human trafficking from: A federal, state, tribal, or local governmental entity, government agency, or law enforcement entity.
A non-governmental entity or task force authorized by a governmental agency to make such a determination.
A self-attestation, which is a statement prepared by you (or your representative) stating that you were a victim of human trafficking that is certified by an authorized employee or representative of a governmental agency or non-governmental entity.
One or more documents from a court indicating a determination by a court that you were a victim of human trafficking in a case where a central issue is whether you are a victim of human trafficking. Court documents can be made up of several documents from the court case that together show that the court accepted as true or found no genuine dispute that you were a victim of human trafficking.

Please provide one or more of the below documents: *

Click or drag files to this area to upload. You can upload up to 6 files.

Document Filed by Court Identifying Consumer as Victim *

Click or drag files to this area to upload. You can upload up to 2 files.

Once the investigation for the disputed information is complete, a notice will be sent to you. Would you like this notice via email or mail (provided above)? *

Email
Mail

Phone

800.608.3645 option 5

Email

disputes@onesourcebackground.com