SECURITY FREEZE REQUEST FORM
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 myequifax.com.
Please Select a Service (only one)
Place a freeze
Temporarily lift an existing freeze. Starting and Ending
Permanently remove an existing security freeze
Identification Information
First Name
Last Name
Middle Initial
Suffix
Current Address
City
State
Zip
Former Address
City
State
Zip
SSN
Date of Birth
Proof of Identity
(check box for and include a copy of one of the following)
Proof of Address
(check box for and include a copy of one of the following)
Social Security Card
Driver's license or state identification card
Pay stub with Social Security Number
Rental lease agreement/house deed
W2 or 1099 Form
Pay stub with address
The item you select must contain your SSN
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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