USAA Federal Savings Bank
10750 McDermott Freeway
San Antonio, Texas 78288-0544
Consumer Report Dispute Form
Purpose of Form:
If you believe we have provided inaccurate information about your USAA Bank account(s) to the consumer reporting
agencies that was included on your credit report and you would like to dispute such information, please complete this
Consumer Report Dispute Form and mail it to us at the addressed identified below. Consumer report disputes mailed to
the address below will receive a written response from us within 30 days of the receipt of your dispute.
Important Notice: If you originated a mortgage with USAA Bank, please refer to your mortgage statement
or contact your mortgage servicer for information about how and where to submit a consumer report
dispute.
Section 1. Contact Information
Please print.
Name: _____________________________________ Member Number: ________________________ (if applicable)
Address: _______________________________________________________________________________________
City: ______________________________
State: _____________________
Zipcode: __________________
Social Security Number: _______________________
Date of Birth: ____________________________________
Phone Number: _______________________________
Section 2. Dispute Information
USAA Bank Account in Dispute – Check Account Type and Provide Account Number:
Credit Card
Consumer Loan
Home Equity Loan
Account Number: ________________________________________________________________________________
Information in Dispute – Identify the Specific Information Disputed:
_______________________________________________________________________________________________
_______________________________________________________________________________________________
Basis of Dispute – Check Reason for Dispute and Explain Why You Are Disputing the Information:
If more space is needed, complete your explanation on a separate document and include it with this Consumer Report
Dispute Form.
Not my account
Account paid in full
Payment was not late
Other
Fraud/Identity Theft
_______________________________________________________________________________________________
_______________________________________________________________________________________________
Supporting Materials – Provide Any Documentation Supporting Your Dispute:
Please provide any supporting documentation or other information that you would like considered in connection with
your dispute. Such documentation may include, but is not limited to, a copy of the relevant portion of your consumer
report, account statements, cancelled checks, court orders, police reports, and/or fraud affidavits. We will review all
relevant information you provide to us with this Consumer Report Dispute Form. Important Notice: Do not send
original documents. The materials you provide to us will not be returned.
Section 3. Signature
Please sign.
Signature: _______________________________
Section 4. Mailing Address
Mail Consumer Report Dispute Form and Any Supporting Materials to the Address Below:
Please note that you may experience a delay in response if your dispute is not mailed to the address specified below.
USAA/Consumer Report Dispute
Attn: Form Code # CLCBD
PO Box 33009
San Antonio, TX 78265-3009
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