Pre-adverse Action forms/Adverse Action Forms
May 4, 2012 | in Background Check
Pre-adverse Action forms/Adverse Action Forms
In reference to your application for employment, we regret to inform you that we are unable to further consider you for employment at this time.
Our decision, in part, is the result of information obtained through the Consumer Reporting Agency identified below.
The Consumer Reporting Agency did not make the adverse decision, and is unable to explain why the decision was made.
You have the right to obtain within 60 days a free copy of your consumer report from the Consumer Reporting Agency as identified below and from any other consumer-reporting agency,
which complies and maintains files on consumers on a nationwide basis.
You have the right to contact the Consumer Reporting Agency listed below to dispute any information contained in the report that you believe may be inaccurate or incomplete.
A copy of your rights under the “Fair Credit Reporting Act” is enclosed, entitled “Summary of Your Rights under the Fair Credit Reporting Act.”
This letter is sent to you in compliance with the Fair Credit Reporting Act.
Summary of Your Rights Under the Fair Credit Reporting Act
The federal Fair Credit Reporting Act (FCRA) is designed to promote accuracy, fairness, and privacy of information in the files of every “consumer reporting agency” (CRA).
Most CRAs are credit bureaus that gather and sell information about you — such as if you pay your bills on time or have filed bankruptcy — to creditors, employers, landlords,
and other businesses. You can find the complete text of the FCRA, 15 U.S.C. 1681-1681u, at the Federal Trade Commission’s web site (http://www.ftc.gov). The FCRA gives you specific rights,
as outlined below. You may have additional rights under state law. You may contact a state or local consumer protection agency or a state attorney general to learn those rights.
- You must be told if information in your file has been used against you.
Anyone who uses information from a CRA to take action against you — such as denying an application for credit, insurance, or employment — must tell you,
and give you the name, address, and phone number of the CRA that provided the consumer report.
- You can find out what is in your file. At your request, a CRA must give you the information in your file, and a list of everyone who has requested it recently.
There is no charge for the report if a person has taken action against you because of information supplied by the CRA,
if you request the report within 60 days of receiving notice of the action. You also are entitled to one free report every twelve months upon request
if you certify that (1) you are unemployed and plan to seek employment within 60 days, (2) you are on welfare, or (3) your report is inaccurate due to fraud.
Otherwise, a CRA may charge you up to eight dollars.
- You can dispute inaccurate information with the CRA. If you tell a CRA that your file contains inaccurate information,
the CRA must investigate the items (usually within 30 days) by presenting to its information source all relevant evidence you submit,
unless your dispute is frivolous. The source must review your evidence and report its findings to the CRA. (The source also must advise national CRAs —
to which it has provided the data — of any error.) The CRA must give you a written report of the investigation, and a copy of your report if the investigation
results in any change. If the CRA’s investigation does not resolve the dispute, you may add a brief statement to your file. The CRA must normally include a summary
of your statement in future reports. If an item is deleted or a dispute statement is filed, you may ask that anyone who has recently received your report be notified of the change.
- Inaccurate information must be corrected or deleted.
A CRA must remove or correct inaccurate or unverified information from its files, usually within 30 days after you dispute it.
However, the CRA is not required to remove accurate data from your file unless it is outdated (as described below) or cannot be verified.
If your dispute results in any change to your report, the CRA cannot reinsert into your file a disputed item unless the information source verifies its accuracy and completeness.
In addition, the CRA must give you a written notice telling you it has reinserted the item. The notice must include the name, address and phone number of the information source.
- You can dispute inaccurate items with the source of the information.
If you tell anyone — such as a creditor who reports to a CRA — that you dispute an item, they may not then report the information to a CRA without including a notice of your dispute.
In addition, once you’ve notified the source of the error in writing, it may not continue to report the information if it is, in fact, an error.
- Outdated information may not be reported. In most cases, a CRA may not report negative information that is more than seven years old; ten years for bankruptcies.
- Access to your file is limited. A CRA may provide information about you only to people with a need recognized by the FCRA — usually to consider an application with a
creditor, insurer, employer, landlord, or other business.
- Your consent is required for reports that are provided to employers, or reports that contain medical information.
A CRA may not give out information about you to your employer, or prospective employer, without your written consent.
A CRA may not report medical information about you to creditors, insurers, or employers without your permission.
- You may choose to exclude your name from CRA lists for unsolicited credit and insurance offers.
Creditors and insurers may use file information as the basis for sending you unsolicited offers of credit or insurance.
Such offers must include a toll-free phone number for you to call if you want your name and address removed from future lists.
If you call, you must be kept off the lists for two years. If you request, complete, and return the CRA form provided for this purpose,
you must be taken off the lists indefinitely.
- You may seek damages from violators. If a CRA, a user or (in some cases) a provider of CRA data, violates the FCRA, you may sue them in state or federal court.
|FOR QUESTIONS OR CONCERNS REGARDING:||PLEASE CONTACT:|
|CRAs, creditors and others not listed below;||Federal Trade Commission
Consumer Response Center – FCRA
Washington, DC 20580
|National banks, federal branches/agencies of foreign banks (word “National” or initials “N.A.” appear in or after bank’s name)||Office of the Comptroller of the Currency
Compliance Management, Mail Stop 6-6
Washington, DC 20219
|Federal Reserve System member banks (except national banks, and federal branches/agencies of foreign banks)||Federal Reserve Board
Division of Consumer & Community Affairs
Washington, DC 20551
|Savings associations and federally chartered savings banks (word “Federal” or initials “F.S.B.” appear in federal institution’s name)||Office of Thrift Supervision
Washington, DC 20552
|Federal credit unions (words “Federal Credit Union” appear in institution’s name)||National Credit Union Administration
1775 Duke Street
Alexandria, VA 22314
|State-chartered banks that are not members of the Federal Reserve System||Federal Deposit Insurance Corporation
Division of Compliance & Consumer Affairs
Washington, DC 20429
|Air, surface, or rail common carriers regulated by former Civil Aeronautics Board or Interstate Commerce Commission||Department of Transportation
Office of Financial Management
Washington, DC 20590
|Activities subject to the Packers and Stockyards Act, 1921||
Department of Agriculture
Office of Deputy Administrator – GIPSA
Washington, DC 20250
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