PERSONAL INFORMATION

Please complete this section using your full legal name. The more information that you provide, the faster we can process your dispute.


To get you a copy of your tenant screening report as fast as possible, if you provided an email address RentGrow will email the tenant screening report to you whenever possible. By providing your email address you consent to receiving your tenant screening request and any required disclosures by email. If you prefer to receive your tenant screening report by regular mail, please email us at [email protected]

Date of Birth*:


PLEASE CLICK ON THE UPLOAD ID BUTTON TO UPLOAD A LEGIBLE COPY OF YOUR VALID GOVERNMENT-ISSUED IDENTIFICATION (such as a state ID card, driver license, etc.).*

File size must be less than 10MB. Supported file formats: PDF, JPG, GIF or PNG.



APPLICATION INFORMATION

Please enter the name of the property and the date you applied for an apartment.





Records Dispute

If you believe that any of the CREDIT, RENTAL HISTORY, CRIMINAL or CIVIL COURT records in your report were inaccurate or incomplete at the time you were screened, please use this form to initiate a dispute.

You may only complete this dispute form on behalf of yourself (or as otherwise required by law). Complete the DISPUTE SECTION(S) that apply to you.

IDENTITY THEFT

If your dispute is based on Identity Theft, you must also submit a copy of an Identity Theft Report (such as a police report; FTC report; or other report with an investigative agency).

The report must specifically identify the information on your screening report that you are disputing (such as specific credit items; specific criminal records; specific civil records; specific rental history records; etc.)

Please note, we cannot process an identity theft dispute without all of this information.

I am disputing the following:

Credit or Rental History
Criminal Records
Civil Records



Additional Attachments:

Upload any additional supporting documents.

File size must be less than 10MB. Supported file formats: PDF, JPG, GIF or PNG. Use CTRL or Command (Mac) to select multiple files.


Your Written Acknowledgment (Required)

By submitting this form, I acknowledge and confirm that this is my written request to initiate a dispute, that I am initiating this dispute on my own behalf, and that the information I have provided is true and correct to the best of my knowledge. Additionally, I confirm that if I am disputing information because of identity theft, the information I am disputing does not belong to me.