Verification Services Credit Request Form

EQUIFAX VERIFICATION SERVICES

CREDIT / REFUND REQUEST FORM

To initiate your credit / refund request, the following requirements must be met:

All fields must be completed.
Documentation regarding all transactions at issue must be uploaded to support the credit / refund request. An attachment including the applicable borrower or borrowers' name(s) is required for all transactions.
The transactions for which you're requesting credit / refund must be invoiced prior to requesting a credit / refund. For example, if the creditable transaction took place in April, you must wait to receive your April invoice in May, and use that invoice number.
The credit memo will be applied to the invoice.

If approved, the credit or refund will be applied to the invoice number that you provide. You will receive a credit memo posted in iReceivables that is separate from your invoice. Credit/refund requests take up to 60 days to process. Please note, additional documentation may need to be provided upon request.

*Company Name

*Customer Number

*Invoice Number

*Date of Invoice

*Email Address

*Total Number of Verifications Your Credit Request Includes

*Price Per Verification

*Total Pre-Tax Credit Amount

*Reason for Credit

Please include any additional comments related to your reason for credit or your request submission (Please do not enter personal data)