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To request a security freeze on the credit file of a protected consumer (minor or incapacitated consumer), submit all of the following identification information: the protected consumer's full name, with middle initial and generation, such as JR, SR, II, III, etc.; their Social Security number; date of birth; current mailing address and previous addresses for the past two years; your full name, with middle initial and generation, such as JR, SR, II, III, etc.; Social Security number; date of birth; current mailing address and previous addresses for the past two years. Submit copies of the protected consumer's birth certificate and Social Security card, and one copy of your government issued identification card, such as a driver's license, state ID card, etc., and one copy of a utility bill, bank or insurance statement, etc. Make sure that each copy is legible, displays your name and current mailing address, and the date of issue (statement dates must be recent). We are unable to accept credit card statements, voided checks, lease agreements, magazine subscriptions or postal service forwarding orders as proof. To protect your personal identification information, Experian does not return correspondence sent to us. Send copies of any documents you wish to provide to us and always retain your original documents. If you are the protected consumer's guardian, submit a copy of the court document naming you as the guardian.

Once we have received your request and all the required information, a freeze will be placed on the protected consumer's credit file. If a credit file does not exist, we will create the file and add the freeze.

  
Mail this form to:

Experian
PO Box 9554
Allen, TX 75013

Your identification information

Name

Address
City State ZIP code

Social Security number

Date of birth

Home telephone number Extension Business/alternate phone Extension

Report number
I am requesting:
[  ] A security freeze be place on a protected consumer's personal credit file.
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