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Dispute Accuracy Of My Background Check
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Company Name
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First Name
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Last Name
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Email
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Phone
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Preferred Contact Method
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Email
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Address
Mailing Address
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Disputed Case(s)
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Specific Case(s) (comma separated)
Reason(s) for Dispute
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Discrepancy: Level of Charge
Discrepancy: Offense Description
Discrepancy: Disposition/Verdict
Disputed Identity
Expunged Case
Other
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Supporting documents
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There will be a link to your cover sheet on the next page. Please fax your supporting documents to (910) 815-3881.
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