FCRA Information : Sample Adverse Action Letter

In compliance with the Fair Credit Reporting Act, employers are required to notify an applicant if information obtained from a consumer reporting agency is used, in whole or in part, in the decision to deny employment. The notification should be in the form of a letter such as the sample below. The letter must contain the name, address and the phone number of the consumer reporting agency. This allows the applicant the opportunity to dispute the information if they believe it is incorrect.

Date

Applicant Name
Street Address
City, State, Zip

Dear Mr. Applicant:

Your application for employment with (Company Name) has been denied. This decision was made, in whole or in part, based on information obtained from:

TriCor Employment Screening
110 Blaze Industrial Pkwy
Suite C
Cleveland, OH 44017
Phone 1-800-818-5116

This letter is sent to you in compliance with the Fair Credit Reporting Act.

Please note: TriCor Employment Screening DID NOT make the decision to take adverse action and is unable to provide you with the specific reasons as to why the adverse action was taken.

Sincerely,

Download Form

Adverse Action Letter